Provider Qualification:

Any physician, certified nurse midwife, nurse practitioner, hospital, community clinic, or medical group who provides prenatal care, has a valid Medi-Cal provider number, and is in good standing with state licensing and regulatory agencies can submit a CPSP application. Once finalized at the local CPSP office, the application is forwarded to the State Dept. of Health Services for final approval.

Reimbursement for CPSP: (Click here for Schedule)

• CPSP Services provided to women who are eligible for fee-for-service Medi-Cal are reimbursed via the regular Medi-Cal billing process. Services are reimbursed at $33.64/hr. for individual services and $11.24/patient/hr. for group classes. Additional bonuses are also available. Details are included in the Medi-Cal Provider Manual.
• Reimbursement for women enrolled in Medi-Cal Managed Care is determined by provider contracts with individual IPAs and health plans.

Advantages of becoming a CPSP provider:

• Fee-for-service Medi-Cal reimbursement for patients not enrolled in a health plan, including patients who have Pregnancy/Emergency Only Medi-Cal
• Ongoing technical assistance for program application and implementation
• Regularly scheduled trainings for staff
• Free copy of CPSP Provider Handbook and Steps to Take Guidelines
• Quarterly newsletter with CPSP, Medi-Cal, and clinical updates