Comprehensive Perinatal Services Program


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? 

Provider participation in the program requires a formal application process and certification by the California State Department of Health. Complete a provider application form and call the Solano County Perinatal Services Coordinator at (707) 784-8543.

Note: You will need Adobe Acrobat Reader to view files on this page.

Download the  
CPSP Provider brochure!

Apply to become a CPSP Provider!
CPSP Provider Application
CPSP Provider Application Checklist
CPSP Request for Application Changes
CPSP Provider Staff Update Form

Register for CPSP Training!
Online (Free!)
Manual Order Form

Provider Training Resources
Steps to Take Manual
CPSP Provider Handbook

CPSP Provider Forms

CDPH 4455: Initial Combined Assessment  Form Annotations Instructions

CDPH 4455 A: Assessment Risk/Strength Summary Form

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

CQI-QA Introduction
Administrative Review Tool
Chart Review Tool
Multi-Chart Review Tool
Electronic Health Records Review Tool

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.

CPSP Roundtable Meetings

June 8, 2016
September 14, 2016
December 14, 2016

June 8, 2016
September 14, 2016
December 14, 2016

Updated PHC Lactation Policy (November 9, 2016)

Provider Resources

American Academy of Pediatrics

American Congress of Obstetricians and Gynecologists

BabyFirst Solano

California Dept. of Public Health's CPSP Program

California Maternal Quality Care Collaborative

Covered CA
Health Coverage Options for Pregnant Women

Family Pact

Interconception Care Project of California

March of Dimes

Medi-Cal Access Program (formerly known as Access for Infants and Mothers Program)

National Maternal and Child Oral Health Resource Center

Partnership HealthPlan of California

Requirements and Policies on Perinatal Services

Solano County Breastfeeding Coalition

Solano WIC Program

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".

Health Education Toolkit

Toolkit (Updated 12/12/2016)

Publications & Reports

(Coming soon!)

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.


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.