Central California Alliance For Health


Health Education and Disease Management Programs

The Alliance is committed to improving access to affordable health care for our members. We offer innovative programs to help members achieve healthier outcomes. These programs are managed by a multidisciplinary team comprised of experienced health educators and registered dietitians. They assist members with techniques to stay healthy and understand and manage chronic disease, including enrollment in Health Education and Disease Management Programs.

For more information about Health Education and Disease Management Programs, please see the Care Management Services Fact Sheet and Quick Reference Guide and Clinical Health Education Benefits.

Health Education

Appropriate Use of Emergency Department

In order to reduce avoidable ED visits for young children, the Alliance offers members the book titled What To Do When Your Child Gets Sick. This book is written in easy-to-read language for parents and caregivers for children from birth to 8 years of age. Members who complete and return a quiz that is included in the book are entered into a raffle for a $50 gift card.

•  This book can be sent to any member upon request by the member or their primary care provider (PCP).

Breastfeeding Support

The Alliance gives new moms access to breastfeeding education, support, and referrals. New moms are eligible for a free breast pump if either mom or baby has medical issues that prevent nursing at the breast or if the mother is returning to work or school and wants to continue breastfeeding.

• Click here for the Breastfeeding Support and Breast Pump Benefit Description.

• Click here for the Breast Pump Vendor List.

Health Education Resources

The Alliance offers a wide variety of health education resources for our members. These resources can be accessed by calling the Health Education Line at (800) 700-3874 ext. 5580.

Living Healthy, our quarterly trilingual (English, Spanish, and Hmong) member newsletter, provides information on Alliance services and benefits, personal health, and local health education resources.

Ask Me 3 is a patient education program designed to improve communication between patients and health care providers, encourage patients to become active members of their health care team, and promote improved health outcomes.

• The Centers for Disease Control and Prevention offers information on topics ranging from disease and conditions, to healthy living, travelers’ health, emergency preparedness and more.

Healthy Moms and Healthy Babies Program

The Alliance's HMHB program is designed to encourage pregnant women to seek early prenatal and postpartum care. These members can earn up to $50 in gift cards.

Early Prenatal Care - Pregnant members who have a prenatal visit (Early Prenatal Care) within their first 13 weeks of their pregnancy or within 42 days of becoming an Alliance member can receive a gift card. PCPs who submit the form to the Plan within 21 business days from the date of services to indicate members have received an initial prenatal consultation will receive payment through our CBI program. The prenatal visit does not need to be a comprehensive official prenatal exam and can simply be a diagnosis of pregnancy and referral to relevant specialist or PCP for continued prenatal services.

Early Prenatal Care Form

• Fillable Early Prenatal Care Form in English or Spanish or Hmong.

• Printable Early Prenatal Care Form in English or Spanish or Hmong.

Fax this form to the Alliance at 1 (877) 793-8504.

Postpartum Care - New moms can also receive a gift card for their postpartum visit (Postpartum Care) if they see their PCP within 21-56 days of the birth of their child. The member will receive this incentive once the PCP has billed the Plan for the encounter and no form is required. The provider to which the member is linked at the time of the visit will receive payment for either 1) performing the visit or 2) the visit being performed by a referral specialist.

Text4Baby - free information to keep you and your baby healthy

The Healthy Mothers Healthy Babies coalition has developed a free text messaging program to provide new moms with tips on the importance of prenatal and postpartum care, breastfeeding, lead poisoning prevention, immunizations, nutrition, exercise, and much more. Pregnant women and new moms who sign up will receive messages timed with their due date or baby's date of birth.

• Click here for information on how to sign up for the Text4Baby program.

Tobacco Cessation Support Program

The TCS program offers many ways to help members quit smoking. Members are referred to the convenient, toll-free California Smokers' Helpline at 1-800-NO-BUTTS (1-800-662-8887), which provides free cessation counseling over the phone for anyone in California. The program may also help members enroll in an approved smoking cessation class. The provider may also complete the TCS application but it is not required. Members can also self-refer.

• Click here for the TCS Program Application, including eligibility and referral process information.

• Click here for the Tobacco Cessation Benefit Description.

Women's Preventive Screenings

The Alliance is committed to encouraging early detection and preventive screenings for women's health issues. The Alliance sends quarterly mailings to remind members who, according to claims data, are due for a chlamydia screening, breast cancer screening, or cervical cancer screening. Providers also receive lists of members who are due for their preventive screenings.

Disease Management

Healthier Living Program (HLP)

The Alliance’s HLP is based on Stanford’s Chronic Disease Self-Management Program (CDSMP), and is designed to help Alliance members diagnosed with chronic conditions gain self-confidence in their ability to control their symptoms and understand how their health problems affect their lives. The program focuses on problems that are common to individuals suffering from any chronic condition, such as pain management, nutrition, exercise, medication usage, emotions, and communicating with doctors. The HLP is facilitated by two trained Alliance staff and the workshops cover 17 hours of material over a six-week period.

Healthy Breathing for Life Program

In the HBL program, Health Programs staff work with members ages 5-64 to assess their level of understanding about asthma management. Members can be referred to approved clinical asthma education providers. Members whose PCP submits an Asthma Action Plan (AAP) are entered in a raffle for a chance to win a $50 gift card.

There are two versions of the AAP for your convenience. The fillable AAP allows you to pick medications from a drop down list and type in the member's information and your instructions to the member. The printable AAP allows you to print the document and check the box that corresponds to the medication you have prescribed.

• Click here for the Healthy Breathing for Life program overview.

• Click here for the Asthma Education Benefit Description.

• Click here for Approved Asthma Education Providers.

• Click the links below for the HBL Programs forms.
  – Fillable AAP in English or Spanish or Hmong
  – Printable AAP in English or Spanish or Hmong

Healthy Weight for Life Program

HWL is an Alliance health program designed to promote healthy lifestyles, self-care and the prevention of chronic disease. The Alliance works with contracted providers to identify and refer member ages 2-18 whose Body Mass Index (BMI) is at or above the 85th percentile. Members who lower their BMI percentile by 3 or more percentile points can receive up to $50 in gift cards.

Click the links below to view additional information about BMI calculations, the HWL Program, and to access the HWL Program forms. Referring providers must use these forms to refer members to the HWL Program.

Please fax only the completed referral form to the Alliance, not the Rx form. Give the completed Rx form to the patient and keep a copy in the patient's file.

Initial Referral, 6-Month and 12-Month Follow Up Referral Form
   - English
Initial Referral, 6-Month and 12-Month Follow Up Referral Form
   - Spanish
Initial Referral, 6-Month and 12-Month Follow Up Referral Form
   - Hmong
Instructions for Calculating BMI
CDC BMI Percentile Calculator for Child and Teen

Live Better with Diabetes Program

The Alliance offers a $50 gift card to members with diabetes for obtaining the following three screenings: HbA1c, eye exam, and appropriate medical attention for nephropathy. Alliance staff also refers members to approved clinical diabetes management education providers.

• Click here for the Diabetes Prevention and Self-Management Education Benefit Description.

• Click the links below for a Diabetes Eye Exam Services Resource List
   English or Spanish or Hmong.

Weight Watchers Support Program

The Weight Watchers Support (WWS) program is a weight management program that is not an Alliance benefit or a Medi-Cal benefit. In order to join the WWS program, members' primary insurance plan must be the Alliance, members must meet referral criteria provided by their PCP, and the WWS application must be completed by the provider. Members can only be enrolled in the WWS program once due to a limited number of scholarships available.

• Click here for the WWS Program Application, including eligibility and referral information.

How to Become a Clinical Health Education Provider

The Alliance offers clinical health education and self-management services. If you are interested in becoming an Alliance approved Clinical Health Education (CHE) provider, please review the appropriate checklist below for details on the application and approval process. The application and information for submission are located below the checklists.

Clinical Health Education Provider Approval Checklists:

      •  Diabetes Self-Management Education

      •  Asthma Self-Management Education

      •  Breastfeeding and Lactation Self-Management Education

Clinical Health Education Provider Application

If you would like to become an Alliance CHE provider, please complete the application and submit copies of current medical license(s) and other documentation outlined in the appropriate checklist linked above. You may submit this information via mail, email, or fax to:

Mail: ATTN: Health Programs Unit
Central California Alliance for Health
1600 Green Hills Road, Suite 101
Scotts Valley, CA 95066-4981

Email: cheb@ccah-alliance.org

Fax: (831) 430-5852

For information about, or referrals to, Health Education and Disease Management Programs, please call the Health Education Line at (800) 700-3874 ext. 5580.


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