MedicaidCoverageMedium impact
22-187 Medi-Cal Postpartum Coverage Now Extends to 12 Months
Health Net·CA · OB-GYN, Family Medicine, Pediatrics·Prior Authorization
Effective date
Apr 1, 2022
We identified it
Jun 20, 2026
Summary
Medi-Cal postpartum coverage has been extended from 60 days to 12 months following delivery, effective April 1, 2022. This applies to pregnancy-related and postpartum care services in specific California counties regardless of citizenship status or income changes.
Action Required
Immediately: Billing team must update eligibility verification processes to check for extended 12-month postpartum coverage for Medi-Cal members in Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties. Use provider portal for real-time eligibility verification. Contact Health Net Medi-Cal Provider Services at 800-675-6110 with questions within 60 days.