California Office of Statewide Health Planning & Development

ALIRTS User Guides, Forms and Instructions

Registration and Login Quick Reference Guide

The Registration and Login Quick Reference Guide is for facilities registering their facility to use ALIRTS for the first time.

ALIRTS User Guide

The ALIRTS User Guide has information on how to register with ALIRTS; setup additional report preparer user accounts; login and start a report; complete a new report; validate and submit the entire report; and revise a submitted report.

Go to Utilization Reporting Forms and Instructions for:
Hospitals  |   Long-Term Care Facilities  |   Primary Care   |   Specialty Clinics  |   Home Health & Hospice

Hospital Facilities Forms and Instructions

Hospitals are required to submit an Annual Utilization Report of Hospitals by February 15th each year for the prior calendar year. The reports contain descriptive information on discharges, patient days, surgery utilization, licensed level of emergency service and number of emergency rooms and visits. Also included are type of ownership, number of cardiac catheterizations, and reimbursement source for psychiatric and long-term care patients.

• 2008  |  Reporting Forms.pdf   56kb, Instructions.pdf  211kb, Technical Bulletins/Letters
• 2007  |  Reporting Forms.pdf   144kb, Instructions.pdf  634kb
• 2006  |  Reporting Forms.pdf   69kb, Instructions.pdf  621kb
• 2005  |  Reporting Forms.pdf   41kb, Instructions.pdf  209kb
• 2004  |  Reporting Forms.pdf   333kb, Instructions.pdf  445kb
• 2003  |  Reporting Forms.pdf   302kb, Instructions.pdf  430kb
• 2002  |  Reporting Forms.pdf   245kb, Instructions.pdf  438kb
• 2001  |  Reporting Forms.pdf   171kb, Instructions.pdf  205kb

Go to Utilization Reporting Forms and Instructions for:
Hospitals  |   Long-Term Care Facilities  |   Primary Care   |   Specialty Clinics  |   Home Health & Hospice

Long-Term Care Facilities Forms and Instructions

Long-Term Care (LTC) Facilities are required to submit an Annual Utilization Report of Long-term Care Facilities by February 15th each year for the prior calendar year. The reports contain descriptive information on: Discharges; Patient (census) days; type of Ownership and Payment source information.

• 2008  |  Reporting Forms.pdf   42kb, Instructions.pdf  129kb
• 2007  |  Reporting Forms.pdf   22kb, Instructions.pdf  513kb
• 2006  |  Reporting Forms.pdf   28kb, Instructions.pdf  505kb
• 2005  |  Reporting Forms.pdf   29kb, Instructions.pdf  132kb
• 2004  |  Reporting Forms.pdf   268kb, Instructions.pdf  255kb
• 2003  |  Reporting Forms.pdf   249kb, Instructions.pdf  248kb
• 2002  |  Reporting Forms.pdf   246kb, Instructions.pdf  245kb
• 2001  |  Reporting Forms.pdf   130kb, Instructions.pdf  159kb

Go to Utilization Reporting Forms and Instructions for:
Hospitals  |   Long-Term Care Facilities  |   Primary Care   |   Specialty Clinics  |   Home Health & Hospice

Primary Care & Specialty Clinics Forms and Instructions

Primary Care and Specialty Clinics are required to submit an Annual Utilization Report of Primary Care and Specialty Clinics by February 15th each year for the prior calendar year. The reports contain descriptive information on services and encounters, staffing, capital expenditures, changes, operating costs, and services offered. Also included are type of ownership and payment source information.

Primary Care Clinics Forms and Instructions

• 2008  |  Reporting Forms.pdf   68kb, Instructions.pdf  285kb, Technical Bulletins/Letters
• 2007  |  Reporting Forms.pdf   156kb, Instructions.pdf  725kb
• 2006  |  Reporting Forms.pdf   40kb, Instructions.pdf  321kb
• 2005  |  Reporting Forms.pdf   60kb, Instructions.pdf  253kb
• 2004  |  Reporting Forms.pdf   436kb, Instructions.pdf  463kb
• 2003  |  Reporting Forms.pdf   396kb, Instructions.pdf  454kb
• 2002  |  Reporting Forms.pdf   197kb, Instructions.pdf  193kb
• 2001  |  Reporting Forms.pdf   397kb, Instructions.pdf  180kb

Go to Utilization Reporting Forms and Instructions for:
Hospitals  |   Long-Term Care Facilities  |   Primary Care   |   Specialty Clinics  |   Home Health & Hospice

Specialty Clinics Forms and Instructions

• 2008  |  Reporting Forms.pdf   39kb, Instructions.pdf  95kb
• 2007  |  Reporting Forms.pdf   94kb, Instructions.pdf  433kb
• 2006  |  Reporting Forms.pdf   25kb, Instructions.pdf  427kb
• 2005  |  Reporting Forms.pdf   25kb, Instructions.pdf  98kb
• 2004  |  Reporting Forms.pdf   248kb, Instructions.pdf  187kb
• 2003  |  Reporting Forms.pdf   225kb, Instructions.pdf  187kb
• 2002  |  Reporting Forms.pdf   224kb, Instructions.pdf  188kb
• 2001  |  Reporting Forms.pdf   93kb, Instructions.pdf  140kb

Go to Utilization Reporting Forms and Instructions for:
Hospitals  |   Long-Term Care Facilities  |   Primary Care   |   Specialty Clinics  |   Home Health & Hospice

Home Health and Hospice Forms and Instructions

Home Health Agencies and Hospice are required to submit an Annual Utilization Report of Home Health Agencies and Hospices by March 15th each year for the prior calendar year. The reports contain descriptive information on Patients, Admissions, Visits, Services, Discharges, Primary reimbursement source and Principal diagnosis.

• 2008  |  Reporting Forms.pdf   83kb, Instructions.pdf  161kb, Technical Bulletins/Letters
• 2007  |  Reporting Forms.pdf   176kb, Instructions.pdf  562kb
• 2006  |  Reporting Forms.pdf   57kb, Instructions.pdf  540kb
• 2005  |  Reporting Forms.pdf   74kb, Instructions.pdf  157kb
• 2004  |  Reporting Forms.pdf   514kb, Instructions.pdf  313kb
• 2003  |  Reporting Forms.pdf   292kb, Instructions.pdf  313kb
• 2002  |  Reporting Forms.pdf   463kb, Instructions.pdf  83kb
• 2001  |  Reporting Forms.pdf   180kb, Instructions.pdf  157kb

Go to Utilization Reporting Forms and Instructions for:
Hospitals  |   Long-Term Care Facilities  |   Primary Care   |   Specialty Clinics  |   Home Health & Hospice

For information on the data products produced from the reports, please visit the Healthcare Information Resource Center.