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Comprehensive Perinatal Services Program
(CPSP)
PROVIDERS
About CPSP
Comprehensive Perinatal Services Program (CPSP) is a voluntary program that seeks to improve the health of low-income pregnant women and to give their babies a healthy start in life, by providing enhanced Medi-Cal reimbursements to CPSP-certified obstetrical providers who implement CPSP protocols in their practices. This program is designed to decrease the number of low-birth weights in babies and improve the outcome of all pregnancies by integrating nutrition, psychosocial, health education assessment, interventions, and perinatal education with basic obstetrical care.
| Women who are eligible for CPSP will receive the following services: | - Initial Assessment
- Client Orientation
- Individual Care Plan
- Reassessment
- Postpartum Assessment
- Re-Evaluation of Care Plan
| | | Want to become a CPSP Provider?
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CPSP Provider Forms
Assessment
CDPH 4455: Initial Combined Assessment Form Annotations Instructions
CDPH 4455 A: Assessment Risk/Strength Summary Form
Perinatal
CDPH 4472 A: 24-Hour Perinatal Directory Recall Form Instructions
CDPH 4472 B1: Prenatal Weight Gain Grid: Pre-pregnancy Underweight Range Form
CDPH 4472 B2: Prenatal Weight Gain Grid: Pre-pregnancy Normal Weight Range Form
CDPH 4472 B3: Prenatal Weight Gain Grid: Pre-pregnancy Overweight Range Form
CDPH 4472 B4: Prenatal Weight Gain Grid: Pre-pregnancy Obese Weight Range Form
CDPH 4472 B5: Prenatal Weight Gain Grid: Pre-pregnancy Normal Weight - TWINS Range Form
CDPH 4472 B6: Prenatal Weight Gain Grid: Pre-pregnancy Overweight - TWINS Range Form
CDPH 4472 B7: Prenatal Weight Gain Grid: Pre-pregnancy Obese - TWINS Range Form
CDPH 4472 C: Prenatal Nutrition Assessment Form
CDPH 4472 D: Perinatal Food Group Recall Form Instructions
CDPH 4517: California Diabetes and Pregnancy Program Form
Evaluation
CQI-QA Introduction
Administrative Review Tool
Chart Review Tool
Multi-Chart Review Tool
Electronic Health Records Review Tool
Medi-Cal
CPSP Providers are able to receive fee-for-service reimbursement for the cost of delivering comprehensive perinatal services. The following Medi-Cal provider forms can be found on the California Department of Health Care Services Page:
Billing (Computer Media Claims, EFT Payments, Hardcopy & Point of Service)
Every Woman Counts
Family PACT
Hospital Presumptive Eligibility
Presumptive Eligibility for Pregnant Women
Provider Enrollment
Provider Preventable Conditions
Supplemental Claims Payment Information
Treatment Authorization Request (TAR) Supplemental Forms
You can find these Medi-Cal forms here.
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CPSP Roundtable Meetings
Agendas
June 8, 2016
September 14, 2016
December 14, 2016
Minutes
June 8, 2016
September 14, 2016
December 14, 2016 Resources
Updated PHC Lactation Policy (November 9, 2016)
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Provider Resources
American Academy of Pediatrics
Website
American Congress of Obstetricians and Gynecologists
Website
BabyFirst Solano
Website
Summary
California Dept. of Public Health's CPSP Program
Website
California Maternal Quality Care Collaborative
Website
Covered CA
Health Coverage Options for Pregnant Women
Family Pact
Website
Interconception Care Project of California
Website
March of Dimes
Website
Medi-Cal Access Program (formerly known as Access for Infants and Mothers Program)
Summary
National Maternal and Child Oral Health Resource Center
Website
Partnership HealthPlan of California
Website
Requirements and Policies on Perinatal Services
Updates
Solano County Breastfeeding Coalition
Website
Solano WIC Program
Website
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Client Resources
Medi-Cal Minor Consent
Medi-Cal's Minor Consent services are designed to ensure that minors can receive confidential health care for "sensitive services".
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Health Education Toolkit
Toolkit (Updated 12/12/2016)
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Publications & Reports
Publications
(Coming soon!)
Reports
Barriers to Early Entry to Prenatal Care Survey Report (December 1998)
This survey outlines the barriers to prenatal care that women face when seeking early entry into prenatal care. 721 WIC clients were surveyed.
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Contact
Solano County Comprehensive Perinatal Services Program (CPSP)
Solano County Department of Public Health
Maternal Child & Adolescent Health Bureau
275 Beck Ave, MS 5-240
Fairfield, CA 94533
Phone: 877-680-2229
Fax: 707-421-6618
Solano County Perinatal Services Coordinator
Susan Whalen
Email: [email protected]
Phone: 707-784-8397
Contact the Solano County Perinatal Services Coordinator at 877-680-2229 if you have any questions regarding the CPSP training, application process, roundtable meetings, and other inquiries.
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