Reimbursement for obstetrical services is the same for all providers (CPSP and non-CPSP).  Obstetrical services may be billed as a global charge or fee-for-service.

                             Reimbursement

$ 126.31

$ 483.84

$ 544.72

$ 60.48

$ 1,215.35

Additional reimbursements for approved CPSP providers.

For reimbursement for CenCal Health, click on www.cencalhealth.org
For state rates, click on Physician Rates at www.medi-cal.ca.gov  

Support Services

• Support service reimbursement for health education, nutrition, and psychosocial services is available only to approved CPSP providers
• Support services provided:
  • Individually are reimbursed at $33.64/hour up to 23 hours
  • Group classes are reimbursed at $11.24/patient/hour up to 27 hours
• A coordination fee of $85.34 is available if all three support service assessments are provided within four weeks of entry into care
• Vitamin/mineral supplements (300-day supply) are reimbursed at $39.00 and are for use only by approved CPSP providers
• Billing is on an itemized basis, using regular Medi-Cal billing forms; CPSP codes are available for use by approved CPSP providers
• Total available support service reimbursement: $1,202.53*
  * In high-risk circumstances, additional support service reimbursement can be obtained through the treatment authorization request (TAR) process

Total maximum OB/CPSP reimbursement (before TAR): $ 2,587.77

All Medi-Cal pregnant women who are enrolled in a Medi-Cal managed care plan are entitled to receive CPSP services. Reimbursement under managed care depends on the contractual agreement between the provider and health plan or Independent Practice Association (IPA).