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Achieving Initial Health Assessment (IHA) & Staying Health Assessment (SHA) Compliance

About This Activity

Program Overview

The Department of Health Care Services (DHCS) Policy Letters (PL) 08-003 and 13-001, require managed care plans (MCP) to ensure the provision of the Initial Health Assessment (IHA) and the Individualized Health Education Behavioral Assessment (IHEBA), which is also known as the Staying Healthy Assessment (SHA). Additionally, PCPs are expected to re-assess using the SHA on a regular cadence prescribed by the policy letter.

Educational Objectives

After completing this internet enduring material, participants should be able to:

  • State the key DHCS/Medi-Cal mandates for the IHA and SHA.
  • Describe support Promise Health Plan provides in scheduling and administering the IHA.
  • Explain the impact of COVID on IHA requirements.
  • Define the purpose and benefits of the SHA.
  • Explain the SHA implementation timetable and documentation requirements.
  • List best practices for incorporating administration of the SHA into your clinical workflows.


Eddy Ang, MD, MPH

Dr. Eddy Ang is Medical Director with Blue Shield of California Promise Health Plan. In his current role, Dr. Ang is involved in the planning of cross-functional population health strategies. As a geriatrician and a public health advocate, Dr. Ang has co-led a tele-consultative program to support providers caring for individuals with dementia and has worked as medical director at a large federally qualified health center.

Dr. Ang is passionate about optimizing resources and outcomes for vulnerable population experiencing health disparities. His clinical interests include dementia, fall prevention, polypharmacy, social isolation/loneliness, as well as food and housing insecurity. He practices medicine at UCLA Health.

Dr. Ang graduated as Chief Resident from the Family Medicine residency program at Henry Ford Hospital, followed by a fellowship training in Geriatric Medicine at Harvard Medical School. Dr. Ang earned his medical degree from Kaohsiung Medical University (Taiwan) and a Master of Public Health from Harvard University.

Manouchehr Khandadash, MD

Dr. Manouchehr Khandadash is a full-time pediatrician at Blue Shield Promise’s Antelope Valley Community Clinic. In this position, he sees both pediatric and general medicine patients, as well as serves as a pediatric consultant for health care professionals in family medicine, laboratory and pharmacy. Dr. Khandadash received his M.D. from the Sackler School of Medicine’s American Program in Tel-Aviv and did his pediatric residency at the Albert Einstein Medical Center in Philadelphia.

Ramon Medina, PA

Ramon Medina is a certified physician assistant with the Antelope Valley Community Clinic. In this position, he provides primary care, leads the wound care clinic, and manages the medication-assisted treatment clinic where he works with alcohol dependent patients. Ramon graduated from the Physician Assistant program at Charles R. Drew University and has been providing primary care in the Antelope Valley community for 10 years. 

Enduring Material Detail

Released On

November 2, 2021

Expires On

November 1, 2022

Media Type

Internet Enduring Material

Completion Time

60 minutes

Credit Available

Maximum of 1 AMA PRA Category 1 Credit(s)™

Target Audience

This activity is intended for primary care physicians as well as those working in managed care plans.

Disclosure Policy

In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, course directors, planners, moderators, faculty, and all others in control of the educational content of the continuing education activity must disclose all financial relationships with ineligible companies that they may have had within the past 24 months. If an individual refuses to disclose financial relationships, they will be disqualified from being a part of the planning and implementation of the activity. Owners and/or employees of an ineligible company with business lines or products relating to the content of the activity will not be permitted to participate in the planning or execution of any accredited program. All listed relevant financial relationships with ineligible companies for individuals in control of content have been mitigated.


Role in Activity

Ineligible Company / Commercial Interest

Nature of Relevant Financial Relationship

Eddy Ang, MD, MPH


  • None
  • N/A

Manouchehr Khandadash, MD


  • None
  • N/A

Ramon Medina, PA


  • None
  • N/A

Janet Mills

Course Director

  • None
  • N/A

CME Committee

CE approval, all final decision-making on activities

  • None
  • N/A

Scripps Conference Services & CME

Plan, manage, implement, and reconcile CE activities

  • None
  • N/A

Accreditation and Conflict of Interest Mitigation


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Scripps Health and Blue Shield of California. Scripps Health is accredited by the ACCME to provide continuing medical education for physicians.



Scripps Health designates this internet enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Nurses and Nurse Practitioners

For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit(s)™ issued by organizations accredited by the ACCME.


For the purpose of re-licensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credit(s)™ for attendance at structured learning activities offered by organizations accredited by the ACCME.


The American Academy of Nurse Practitioners Certified Program (AANPCP) and the American Association of Nurse Practitioners (AANP) accept AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.


Physician Assistants

PAs may claim a maximum of 1 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by the ACCME.


Conflict of Interest (COI) Mitigation

All relevant financial relationships with ineligible companies listed for individuals in control of content have been mitigated using a multi-step process including independent peer review of presentations.

Event details

Content Available

Tue, Nov 02, 2021 - Tue, Nov 01, 2022

1 hour