All Gold Coast Health Plan (GCHP) members are required to have a Staying Healthy Assessment (SHA) within 120 days of enrollment. The SHA can help providers identify high-risk behavior, set priorities for behavior change and refer patients for appropriate services.
Below is a current schedule and protocol for administering the SHA tool.
GCHP members will be asked to fill out the age/language specific Staying Healthy Assessment form at your Initial Health Assessment (IHA), within 120 days of enrollment or well-care visits at your office.
Staying Healthy Assessment
- 0 to 6 months of age
- 7 to 12 months of age
- 1 to 2 years of age
- 3 to 4 years of age
- 5 to 8 years of age
One assessment for each age group, completed by parent or guardian, signed and dated by Primary Care Provider (PCP). Reviewed, dated and initialed by PCP annually thereafter.
Self-administer. Reviewed, dated and initialed by PCP annually thereafter.
Self-administered, every three to five years up through age 55.
After age 65, self-administer per recommendation by PCP.
A complete set of SHA forms is available at www.dhcs.ca.gov.