Update! Licensed midwives may enroll in Medi-Cal as direct/billing providers and apply as a Comprehensive Perinatal Services Program provider.
The Comprehensive Perinatal Services Program (CPSP) is a Medi-Cal benefit that provides a wide range of culturally competent services to pregnant individuals from conception through 60 days postpartum. In addition to standard obstetric services, patients receive enhanced services in the areas of psychosocial, health education, and nutrition.
CPSP has uniquely divided authority between the Department of Health Care Services (DHCS) and the California Department of Public Health (CDPH). CDPH is responsible for CPSP provider enrollment and monitoring/oversight of the implementation of the CPSP Program. As a Medi-Cal benefit, DHCS is responsible for reimbursement to approved CPSP providers for performing CPSP services to eligible beneficiaries.
By 2024, DHCS envisions 99 percent of all Medi-Cal beneficiaries will transfer from fee-for-service (FFS) to Medi-Cal managed care (MCMC) health plans. In response to this transition, the
Local Health Jurisdictions (LHJs)/ Perinatal Services Coordinators (PSCs) will be transitioning away from previous duties of CPSP provider enrollment and recruitment, technical assistance/training, and monitoring/oversight of the CPSP Program.
Starting July 1, 2023, enrollment and monitoring/oversight responsibilities will be conducted by CDPH. CDPH will continue to support active CPSP providers who currently provide and bill FFS CPSP services.