Maternal and Perinatal Health Care Services
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) saib xyuas Medi-Cal Program (Medi-Cal), uas muaj kev pabcuam kev noj qab haus huv nyob rau hauv ob qho tib si nqi-rau-kev pabcuam (FFS) thiab hauv cov kev tswj xyuas kev noj qab haus huv.
Medi-Cal suav nrog ntau yam ntawm cov kab lis kev cai muaj peev xwm thiab kev hais lus tsim nyog rau niam txiv kev saib xyuas kev noj qab haus huv thiab kev txhawb nqa.
- Cov kev pabcuam tseem ceeb ntsig txog cev xeeb tub yog tsim los pab txhawb cov kev xav tau tshwj xeeb ntawm cov neeg cev xeeb tub thiab tom qab yug menyuam los ntawm kev xeeb tub mus rau tom qab yug menyuam. Lawv suav nrog tab sis tsis txwv rau cov kev pab cuam obstetric (piv txwv li, mus ntsib kws kho mob), nchuav menyuam, rho menyuam, txhaj tshuaj tiv thaiv kab mob, tshuaj kho mob, kev pabcuam kuaj mob, doula lossis kev pabcuam midwifery, thiab kev saib xyuas hauv tsev kho mob.
- Cov kev pabcuam no muaj los ntawm ob tus kws kho mob Medi-Cal FFS rau npe rau Medi-Cal FFS cov tswvcuab thiab Medi-Cal Managed Care Plans (MCPs) rau Medi-Cal cov tswvcuab hauv kev saib xyuas, ua raws li Medi-Cal txoj cai.
- Medi-Cal tseem suav nrog lwm cov kev pabcuam los txhawb cov tswvcuab cev xeeb tub thiab tom qab yug menyuam, suav nrog tab sis tsis txwv rau: kev noj qab haus huv (kev noj qab haus huv thiab kev siv tshuaj yeeb) kev pabcuam thiab kev kho mob; kev kawm txog kev noj qab haus huv ntawm kev yug menyuam thiab niam txiv; pub mis niam thiab kev txhawb nqa khoom noj khoom haus; thiab ntau ntxiv.
- Tham nrog koj tus kws kho mob Medi-Cal lossis Medi-Cal MCP kom paub seb koj puas tsim nyog tau txais cov kev pab no. Thov nco ntsoov tias qee qhov kev pabcuam no yuav xav tau kev pom zoo ntxiv. Yog tias muaj, koj tus kws kho mob Medi-Cal lossis Medi-Cal MCP yuav pab koj.
Kev Pabcuam Tswvcuab
DHCS wants to ensure that Medi-Cal members can understand, navigate, access, and receive comprehensive health care and services.
Medi-Cal members can choose maternal health care and support services that are sensitive to cultural and linguistic needs as well as individual Medi-Cal member preferences in terms of the time, place, and manner of the birthing experience.
An example of some of the Medi-Cal maternal health care services are listed below:
- Midwifery Services
- Doulas
- Comprehensive Perinatal Services Program (DHCS)
- Comprehensive Perinatal Services Program (CDPH-CPSP)
In addition to core pregnancy-related services and other services to support pregnant and postpartum members, many Medi-Cal members who receive services through Medi-Cal MCPs may also be eligible for Community Supports, which are services that help address health-related social needs. These include help getting and maintaining housing, healthy meals, and other community-based services. Members can learn more about Community Supports services offered in their county using the Community Supports Search Tool and contact their Medi-Cal MCP to see if they are eligible.
Further, American Indian women in select counties can get health care, education, emotional support and home visits from trained clinic staff during pregnancy and for the first year of their child’s life. For more information, visit the American Indian Maternal Support Services (AIMSS) program.
Cov peev txheej ntxiv
Medi-Cal cov tswv cuab kuj tseem yuav tsim nyog tau txais kev txhawb nqa tseem ceeb ntxiv los ntawm lwm lub xeev thiab cov kev pabcuam koom nrog:
- Cov Poj Niam, Me Nyuam mos thiab Me Nyuam (WIC) thiab CalFresh: Cov tswv cuab xav txhawb kev nkag tau cov zaub mov noj qab haus huv thiab noj qab haus huv yuav tsum mus ntsib WIC thiab CalFresh.
Paid Family Leave: Cov tswv cuab xav paub txog lawv txoj cai kom them nyiaj so haujlwm thaum cev xeeb tub lossis tom qab yug me nyuam yuav tsum mus ntsib Paid Family Leave kom paub ntau ntxiv. - Black Infant Health Program: Some Members who identify as Black women and who are interested in support with life planning, goal setting, and referrals to services can enroll in The Black Infant Health program, which takes a group- based approach where participants get to meet, interact and build a sisterhood with other Black women.
Medi-Cal rau Cov Me Nyuam & Cov Hluas
After a Medi-Cal member’s child is born, Medi-Cal for Kids & Teens provides free health care services to keep children healthy from birth to age 21. These services include check-ups, shots, and health screenings and treatment for physical, mental, and dental health problems.
Nkag mus saib xyuas
Medi-Cal FFS members who need maternal health care services should talk to their health care provider or call the Medi-Cal member helpline at (800) 541-5555 or TDD at (800) 430-7077. Medi-Cal members may also review the myMedi-Cal brochure and other information available online.
Medi-Cal members in a Medi-Cal MCP can find general Medi-Cal MCP contact information in the Medi-Cal Managed Care Health Plan Directory or call their assigned Medi-Cal MCP. The phone number for each Medi-Cal member’s assigned Medi-Cal MCP is on their plan ID card. Medi-Cal members in an MCP can find a provider on the Medi- Cal Managed Care website.
Medi-Cal Enrollment Pathways
DHCS thiab Covered California tau koom tes los tsim ib Daim Ntawv Thov Kev Pabcuam Ib Leeg rau kev them nqi kho mob pheej yig. Cov tib neeg tuaj yeem siv Daim Ntawv Thov Kev Siv Ib Leeg los thov rau ntau yam kev xaiv kev kho mob pheej yig, suav nrog Medi-Cal dawb lossis tus nqi qis. Cov txheej txheem thov tuaj yeem ua tiav hauv online, ntawm tus kheej, hauv xov tooj, fax lossis xa ntawv.
The Single Streamlined Application is available in English and additional languages. Individuals can go to Covered California to complete an online application for Medi-Cal or low-cost health insurance. Alternatively, individuals can print and fill out the Single Streamlined Application, which is available on the DHCS website in English and additional languages and may be mailed to Covered California at the following address:
Covered California
P.O. Box 989725
West Sacramento, CA 95798-9725
Alternatively, the Single Streamlined Application can also be mailed to an individual’s local county office.
For more information on Medi-Cal enrollment, please also review the information available on DHCS’ website.
Muab Kev Pabcuam
DHCS kuj tau tsim ntau yam kev pab Medi-Cal thiab cov ntaub ntawv rau Medi-Cal cov kws kho mob, uas suav nrog tab sis tsis txwv rau:
- Medi-Cal Phau Ntawv Qhia: Cov ntaub ntawv qhia ntxaws no muaj cov cai tswj hwm rau Medi-Cal FFS thiab kev saib xyuas kev tswj hwm thiab Medi-Cal FFS cov nqi them thiab cov nyiaj them rov qab.
- Txhua Tsab Ntawv Npaj thiab Txoj Cai: Ntxiv rau cov ntaub ntawv qhia txog kev pov hwm muaj nyob hauv Medi-Cal Phau Ntawv Qhia Txog Tus Kws Kho Mob, cov ntaub ntawv no muab cov lus qhia ntxiv tshwj xeeb rau Medi-Cal MCPs, uas suav nrog tab sis tsis txwv rau, cov lus ceeb toom ntsig txog kev tswj xyuas tshwj xeeb cov ntawv cog lus thiab kev hloov pauv hauv tsoomfwv lossis Lub Xeev cov cai thiab cov cai uas cuam tshuam rau txoj hauv kev uas Medi-Cal cov tswvcuab xa mus rau Medi-Cal.
- Medi-Cal Learning Portal : This resource offers Medi-Cal providers and billers self-paced online training about billing basics, policies, procedures, new initiatives, and upcoming changes to Medi-Cal. To register or login, Medi-Cal providers and billers can go to Medi-Cal’s Learning Portal webpage to view or search the online course catalog.