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首頁服務孕婦與圍產期保健服務​​ 

母嬰健康護理服務​​ 

醫療保健服務部(DHCS)監督 Medi-Cal 計劃(Medi-Cal),該計劃在服務費(FFS)和託管照護提供系統中提供醫療保健服務。​​ 

Medi-Cal 涵蓋了一系列全面的文化能力和語言適合的孕婦健康護理服務和支持。​​ 

  • 與懷孕相關的核心服務旨在支持懷孕和產後的個人從受孕到產後的獨特需求。 這些服務包括但不限於標準產科服務(例如醫生訪問)、流產、流產、疫苗接種、處方、實驗室服務、杜拉或助產服務,以及住院護理。​​ 
    • 這些服務可透過註冊 Medi-Cal FFS 成員的 Medi-Cal FFS 提供商,以及受管理護理中的 Medi-Cal 會員的 Medi-Cal 管理護理計劃 (MCP) 提供,符合 Medi-Cal 政策。​​ 
  • Medi-Cal 還涵蓋支持懷孕和產後會員的其他服務,包括但不限於:行為健康(精神健康和藥物使用)服務和治療;有關分產和育兒的健康教育;母乳餵哺和營養支持;以及更多。​​ 
    • 請與您的 Medi-Cal 提供商或 Medi-Cal MCP 洽詢,以了解您是否符合接受這些服務的資格。 請注意,某些服務可能需要額外的批准。 如果是這樣,您的 Medi-Cal 提供商或 Medi-Cal MCP 將為您提供幫助。​​ 

會員資源​​ 

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:​​ 

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.​​ 

其他資源​​ 

Medi-Cal 會員也可能有資格通過其他州和合作夥伴服務獲得其他關鍵支持:​​ 

  • 婦女、嬰兒和兒童(WIC)和 CalFresh :有興趣支持獲得健康和營養食物的會員應訪問 WIC CalFresh。​​ 
  • 有薪家庭假:有興趣了解懷孕或產後期間有薪休假的會員,應前往帶薪家庭假以獲取更多資訊。​​ 
  • 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.​​ 

加州醫療補助兒童與青少年健康保健計劃​​ 

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.​​ 

獲取護理​​ 

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.​​ 

醫療註冊途徑​​ 

DHCS 和 Covered California 合作,創建一個簡化的單一應用程序,以提供負擔得起的醫療保健保障。 個人可以使用單一簡化應用程序申請一系列負擔得起的醫療保險選項,包括免費或低成本的 Medi-Cal。 申請程序可以在線,面對面,通過電話,傳真或郵件完成。​​ 

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.​​ 

提供者資源​​ 

DHCS 還為 Medi-Cal 提供商創建了各種 Medi-Cal 資源和材料,其中包括但不限於:​​ 

  • Medi-Cal 提供者手冊:本全面的文件包含 Medi-Cal FFS 和託管護理以及 Medi-Cal FFS 計費和退款要求的保障政策。​​ 
  • 所有計劃和保單信函:除了 Medi-Cal 提供者手冊中包含的保險政策信息外,這些文件還提供了 Medi-Cal MCP 專門的其他指導,其中包括但不限於有關管理照護特定合同要求的提醒以及影響 Medi-Cal MCP 運作和/或向 Medi-Cal 會員提供服務的方式的聯邦或州法規和規例的更改。​​ 
  • 中醫學習門戶​​ : 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.​​