Postpartum Care Extension

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Date: March 9, 2022
To: Health Plan of San Joaquin (HPSJ) Providers and Facilities
From: Health Plan of San Joaquin
Subject: Postpartum Care Extension
Business: Medi-Cal Managed Care

As part of the American Rescue Act Plan (ARPA), effective April 1, 2022, an individual eligible for pregnancy and postpartum care services under Medi-Cal or the Medi-Cal Access Program (MCAP) is entitled to an additional ten months of postpartum coverage at the end of their 60-day postpartum period for a total 12 months of postpartum coverage.

  • This coverage shall include the full breadth of medically necessary
    services through the pregnancy and postpartum period.
  • With this expansion, eligibility for the 12 months of postpartum coverage is
    granted to any individual in an aid code where postpartum services are a
    covered benefit.

This article was originally published on September 16, 2021. It has been republished to continue to bring it to providers’ attention. No additional updates have been made since the original publication. Questions concerning this expansion of postpartum care should be sent to pregnancy@dhcs.ca.gov.

If you have any further questions, please contact your Provider Services Representative, or call our Customer Service Department at 1-888-936-PLAN (7526).

Posted on March 9th, 2022

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