Maternal Mental Health Program

Blue Shield of California Promise Health Plan has established a Maternal Mental Health Program that offers resources to Blue Shield Promise network practitioners who are providing prenatal or postpartum care to our Medi-Cal plan members.

In addition to offering support, the program requires compliance with California law, which includes a mandate that a licensed health care practitioner who provides prenatal or postpartum care for a patient must ensure the patient is offered a screening, or is appropriately screened, for any type of mental health conditions that may be occurring. 

In accordance with the law, Blue Shield Promise requires all participating network practitioners, as well as delegated entities that contract with individual practitioners who provide prenatal or postpartum care, to comply with those requirements. More information about program requirements is available in our Maternal Mental Health Program Description (PDF, 79 KB).
 

How to screen perinatal patients for depression

Blue Shield Promise has created a simple clinical that will support healthcare providers in integrating and conducting perinatal mental health screenings and linking Blue Shield Promise members to follow-up care.

 Review the Perinatal Depression Screening Pathway (PDF, 32 KB)

Providers of prenatal and postpartum care for Medi-Cal members may submit claims for reimbursement twice per year for each pregnant or postpartum member: one claim when the member has been diagnosed as pregnant, and one claim during the member’s postpartum period.

To view the fee schedule, including reimbursement rates for depression screenings, please log in to Provider Connection and select the Claims tab to access the fee schedule.
 

Maternal mental health screening tools

All practitioners must use an evidence-based screening tool when providing a mental health screening, and the screening must be performed in conjunction with and on the same date as an outpatient visit.

Blue Shield Promise's preferred maternal mental health screening tool is the Edinburgh Perinatal Depression Scale (PDF, 137 KB). Other tools are also available:

  List of approved screening tools (PDF, 81 KB)
 

Provider actions after completion of the maternal mental health screening

You may also call the numbers below to obtain information about mental health services:

 Los Angeles County phone: (855) 765-9701, 8 a.m. to 8 p.m., Monday through Friday
 San Diego County phone: (855) 321-2211, 8 a.m. to 8 p.m., Monday through Friday

 

Health education materials for perinatal members

To support pregnant and postpartum members, Blue Shield Promise has developed educational brochures on mental health, breastfeeding, and more. You may print and/or share these materials with members.

Behavioral Health Services

Blue Shield Promise behavioral health services cover mental health, substance use disorder, and autism spectrum disorder behavioral health treatment.

Health education materials for perinatal members

To support pregnant and postpartum members, Blue Shield Promise has developed educational brochures on mental health, breastfeeding, and more. You may print and/or share these materials with members.

Provider Connection

Access network provider tools on Provider Connection website.

Health Care Options: (844) 580-7272  {TTY: {800) 430-7077}, Monday through Friday from 8 a.m. — 6 p.m. 

For information on Blue Shield Promise plans for your health care, call the Department of Health Care Services at (800) 430-4263 {TTY: (800) 735-2922}, or visit https://www.healthcareoptions.dhcs.ca.gov/.

Blue Shield of California Promise Health Plan is a managed care organization, wholly owned by Blue Shield of California, offering Medi-Cal Plans.

© 2002-2024. California Physicians’ Service DBA Blue Shield of California Promise Health Plan. All rights reserved.

California Physicians’ Service DBA Blue Shield of California Promise Health Plan is an independent licensee of the Blue Shield Association.

The provider network may change at any time. You will receive notice when necessary.

Blue Shield of California Promise Health Plan complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.

Blue Shield of California Promise Health Plan cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.

Blue Shield of California Promise Health Plan 遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。

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Blue Shield of California Promise Health Plan, 3840 Kilroy Airport Way, 
Long Beach, CA  90806

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