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Update to CPSP Practitioner Definition

May 1, 2019

The definition of a Comprehensive Perinatal Services Program (CPSP) practitioner has been updated. It is now defined in Welfare and Institutions Code (W&I Code), Section14134.5, and California Code of Regulations (CCR), Title 22, Section 51179.7.

W&I Code Section 14134.5 states a comprehensive perinatal provider means any general practice physician, family practice physician, obstetrician-gynecologist, pediatrician, certified nurse midwife, a group, any of whose members is one of the above-named providers, or any preferred provider organization or clinic enrolled in the Medi-Cal program and certified pursuant to the standards of this section. Section 14134.5 also states that, except where existing law prohibits the employment of physicians, a health care provider may employ or contract with all of the following medical and other practitioners for the purpose of providing comprehensive services delineated in this section:

  • Physicians, including a general practitioner, a family practice physician, a pediatrician, or an obstetrician-gynecologist
  • Certified nurse midwives
  • Licensed midwives
  • Nurses
  • Nurse practitioners
  • Physician assistants
  • Social workers
  • Health and childbirth educators
  • Registered dietitians

CCR, Title 22, Section 51179.7 states a comprehensive perinatal practitioner means any one of the following:

  • A physician who is either:
    • A general practice physician, or
    • A family practice physician, or
    • A pediatrician, or
    • An obstetrician-gynecologist.
  • A Certified Nurse Midwife as defined in Section 51170.2.
  • A Registered Nurse who is licensed as such by the Board of Registered Nursing and who has one year experience in the field of maternal and child health.
  • A Nurse Practitioner as defined in Section 51170.3.
  • A Physician's Assistant as defined in Section 51170.1.
  • A social worker who either:
    • Holds a Master's Degree or higher in social work or social welfare from a college or university with a Social Work Degree program accredited by the Council on Social Work Education and who has one year of experience in the field of Maternal and Child Health, or
    • Holds a Master's Degree in psychology or Marriage, Family and Child counseling and has one year of experience in the field of Maternal and Child Health, or
    • Holds a Baccalaureate Degree in social work or social welfare from a college or university with a Social Work Degree program accredited by the Council on Social Work Education and who has one year experience in the field of Maternal and Child Health.
  • A health educator who either has:
    • A Master's Degree (or higher) in Community or Public Health Education from a program accredited by the Council on Education for Public Health and who has one year of experience in the field of Maternal and Child Health, or
    • A Baccalaureate Degree with a major in Community or Public Health Education and who has one year of experience in the field of Maternal and Child Health.
  • A childbirth educator who is:
    • Licensed as a Registered Nurse by the Board of Registered Nursing and has one year experience in a program which complies with the “Guidelines for Childbirth Education” (last published in 1981), herein incorporated by reference in its entirety and available from the American College of Obstetricians and Gynecologists, 600 Maryland Avenue, South West, Suite 300 East, Washington, D.C., 20024-2588 or
    • A Certified Childbirth Educator who has completed a training program and is currently certified to teach that method of childbirth education by the American Society for Psychoprophylaxis in Obstetrics, or Bradley, or the International Childbirth Education Association.
  • A dietitian who is registered, or is eligible to be registered by the Commission on Dietetic Registration, the credentialing agency of the American Dietetic Association, with one year of experience in the field of perinatal nutrition.
  • A comprehensive perinatal health worker who:
    • Is at least 18 years of age, is a high school graduate or equivalent, and has at least one year of full-time paid practical experience in providing perinatal care.
    • Provides services in a clinic that is either licensed or exempt from licensure under Section 1200 et seq. and 1250 et seq. of the Health and Safety Code, under the direct supervision of a comprehensive perinatal practitioner as defined in Section 51179.7(a)(1).
  • A licensed vocational nurse who is licensed under Section 2516 of the Business and Professions Code and who has one year of experience in the field of Maternal and Child Health.
  • A licensed midwife as defined in Section 51191.

Updated manual pages will be released in a future Medi-Cal Update.