Health Plan User (HEDIS Reports)

Health plans (HPs), independent practice associations (IPAs), and medical groups (MPs) can submit member lists to CAIR and receive back matched patient immunization histories to help them complete their HEDIS (Healthcare Effectiveness Data and Information Set) measures. 

Complete the forms below to enroll in the HEDIS process and format and submit your files according to the HEDIS Patient Match Specifications document below.  Representatives of these groups can also be given read-only access to CAIR that allows individual patient lookup.   To request a CAIR read-only user accounts, contact Steve Nickell (steve.nickell@cdph.ca.gov).  If you are interested in  patient match reports from CAIR San Joaquin or CAIR San Diego, contact the Local User Support Contact in those regions.

 

New CAIR2 Health Plan User Role Coming This Fall!

Later this fall, CAIR2 will begin transitioning HP users to use of the web interface for running patient match/HEDIS queries and for uploading claims/billing/encounter data to CAIR2. Each HP will need to request a CAIR2 account, sign and submit the new CAIR2 Health Plan Data Sharing Agreement (see below), and forward the name of 1-2 users who will be responsible for file submission to Steve Nickell (steve.nickell@cdph.ca.gov). HP users will need to be trained and there will be a data validation/testing process. However, until further notice, patient match queries will be performed by CAIR staff using the old file specifications (see above).    In preparation for the transition, please review the new CAIR2 Health Plan Flat File Specification document below that contains instructions on how the patient files for data uploads and patient match queries will need to be formatted.