Seniors and Persons with Disabilities (SPD)
Health Risk Assessment (HRA)
The Department of Health Care Services (DHCS) requires that all SPD members enrolled in Medi-Cal Managed Care receive a health risk assessment within the first 45 days of enrollment for high risk members, and 105 days of enrollment for low risk members.
PHC sends all members this SPD HRA upon enrollment into the Plan. PHC uses responses from this HRA, along with any claims data the State or the Plan may have to determine if a member is high or low risk. This information is then used by PHC to prepare a care plan for the member, and screen them for enrollment in PHC's case management programs.
SPD members are identified by their Medi-Cal aid code. Members who are dual-eligible (e.g. have Medicare and Medi-Cal) and those who reside in Long Term Care (LTC) facilities are not considered to be SPDs because they either have another primary payer or are in a coordinated treatment program, respectively.
SPD Trainings and Materials