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 in 2018!

At some point in 2018, CAIR2 will begin allowing HPs to run their own patient match/HEDIS queries and to upload claims/billing/encounter data to CAIR2 fi they desire.  HPs will need to sign and submit the new CAIR2 Health Plan Data Sharing Agreement (see below).  HP users will also need to be trained .   In preparation, 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.