Postpartum coverage expansion

As a result of the American Rescue Plan Act (ARPA), effective April 1, 2022, the Department of Health Care Services (DHCS) will expand the postpartum care period for individuals receiving pregnancy-related and postpartum care services for an additional 10 months of coverage following the current 60-day postpartum period for a total of 12 months. The 12-month postpartum coverage period for Medi-Cal eligible pregnant individuals will begin on the last day of the pregnancy and will end on the last day of the month in which the 365th day occurs. Additionally, coverage will be extended to full-scope benefits during both the pregnancy and postpartum periods.

 

Due to Continued Eligibility for Pregnancy (CEP) rules, pregnant individuals who are eligible under a Medi-Cal program will maintain coverage through their pregnancy and an extended postpartum coverage period, regardless of income changes, citizenship, or immigration status. These individuals shall maintain continuous eligibility in their full-scope pregnancy and postpartum coverage through the 12-month postpartum period.

 

This will fully replace the current Provisional Postpartum Care Extension (PPCE), which will expire on March 31, 2022.

 

To view the DHCS All County Welfare Directors Letter, visit

https://www.dhcs.ca.gov/services/medi-cal/eligibility/letters/Documents/21-15.pdf.

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ACAPEC-3418-22