Provisional Postpartum Care Extension Frequently Asked Questions

  1. What is the authority for implementing the PPCE program?

    Senate Bill (SB) 104 (Chapter 67, Statutes of 2019). Under SB 104, an individual covered in a pregnancy Medi-Cal aid category may remain eligible under that aid category for up to 12 months after the end of the pregnancy if diagnosed with a maternal mental health condition during their pregnancy, postpartum period, or within 90 days from the end of the postpartum period.

  2. When will the PPCE program implement?

    August 1, 2020

  3. Who is potentially eligible for PPCE?

    Any pregnant or postpartum beneficiary in Medi-Cal or MCAP who has been diagnosed with a maternal mental health condition during their pregnancy, 60-day postpartum period, or within 90 days from the end of the postpartum period.

  4. How long does it take to receive the PPCE determination?

    Once the county Medi-Cal office or MCAP program receives the completed and signed MC 61 and verifies that it meets the criteria for PPCE, the beneficiary is granted PPCE.

  5. Can any health care provider sign the MC 61?

    Any treating health care provider authorized under Medi-Cal to diagnose a maternal mental health condition that is providing service to the beneficiary can sign the MC 61.

  6. When does the PPCE enrollment period begin and end?

    The enrollment period begins on first day of the month following the last day of the 60-day postpartum period. PPCE ends on the last day of the 10 month extension (12 months from the end of the pregnancy).

  7. How can health care providers verify that the beneficiary has PPCE?

    Providers can verify that the beneficiary has continued eligibility just as they do today, by using the Automated Eligibility Verification System, a Point of Service device or the Medi-Cal website.

  8. Where can individuals receive more information about PPCE?

    Any new information on PPCE will be updated to this web page. Individuals may also contact their local county Medi-Cal office or the MCAP program for information about their specific case.