CPSP Application Process

• CPSP Provider Application (PDF)
• Additional CPSP Practitioners (PDF)

PSC Resources

• MCAH Policies and Procedures Manual (PDF)
• Local Health Jurisdiction Community Profiles
  

Quality Assurance (QA)/Quality Improvement (QI) Tools

• Administrative Review Tool (Word)
• Individual Chart Review Tool (Word)
• Multi Chart Review Tool (PDF)
• EHR Review Tool for CPSP (PDF)
  
• CPSP Application Review Tool (PDF)
  

• Initial and Trimester Assessment (PDF)
• Postpartum Assessment and Individualized Care Plan (PDF)
• Template Protocols (Word)

• Medi-Cal Provider Home Page 
• Medi-Cal Learning Portal 
• Medi-Cal Managed Care 

• Maternal and Infant Health Assessment
  
• Prepregnancy Weight Dashboard
  
• Prenatal Care Dashboard
  
• Weight Gain During Pregnancy Dashboard
  
• Additional Dashboards
  

• Prenatal Nutrition Assessment (PDF)
  
• Prenatal Weight Gain Grid -
  • Underweight Range (PDF)
  • Normal Weight Range (PDF)
  • Overweight Range (PDF)
  • Obese Weight Range (PDF)
  • Normal Weight-Twins Range (PDF)
  • Overweight-Twins Range (PDF)
  • Obese-Twins Range (PDF)
• Perinatal Food Group Recall - Read Comprehensive Perinatal Services Program (CPSP) Dietary Intake Assessment (PDF) for more information.
  

  • Perinatal Food Group Recall for Pregnant and New Parents (PDF)
    

  • Perinatal Food Group Recall for Gestational Diabetes (PDF)
    

• MyPlate - Tools and handouts

• 24-Hour Recall (PDF)