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Federal Financial Participation for Comprehensive Perinatal Services Program (CPSP) Perinatal Service Coordinators (PSC). CPSP….. .
Medicaid or MediCal $$ funds
Identify low or no income women and children that had no means or access to health care and
Link women and children of need to care, providers and/or services to ensure safe and healthy pregnancy, birth and growth.
#1 To assist individuals eligible for MediCal to enroll in the MediCal program and/or
#2 To assist individuals on MediCal to access MediCal providers and services.
Qualified Perinatal Services Coordinator must meet:
#1 Skilled Professional Medical Personnel – SPMP
*Must meet Federal SPMP qualifications not State or County.
#2 MCAH Policy & Procedure
*CPSP is a MediCal program serving MediCal providers and clients only.
*95% is the maximum MediCal Factor for PSC to matchable.
*Almost 100% of your activities on behalf of the CPSP are matchable activities.
*Many activities in the CPSP can only be matched by staff in the program.
-At least once a quarter for an entire month.
-Must be for 100% of your time and activities for all programs & activities assigned and worked.
-Supports the information on the Time Study.
-Provides sufficient information to distinguish different activities and programs.
-Documentation should support the Function Code chosen.
-Maintained for three (3) years.
This function is to be used by all staff when performing activities that inform MediCal eligible or potentially eligible individuals, as well as other clients, about health services covered by MediCal and how to access the health programs. Activities include a combination of oral and written informing methods which describe the range of services available through the MediCal program and the benefits of preventive or remedial health care offered by the MediCal program.
“10:00 AM - !2:00 Pm CPSP program presentation to Northwest Women & Children Clinic.”
“6:00 PM – 7:00 PM Sacramento School District PTA presentation – Early Prenatal Care can make a difference”
“2:00 PM – 4:00 PM UC Davis regional OB/GYN providers association meeting – CPSP presentation.”
This function is to be used only by skilled professional medical personnel when participating in medical reviews; assessing the necessity for and types of medical care associated with medical case management and case coordination activities required by individual MediCal beneficiaries.
“ Provided M. Reams with a list CPSP providers in her area.”
This function is to be used only by skilled professional medical personnel when performing collaborative activities that involve planning and resource development with other agencies which will improve the cost effectiveness of the health care delivery system and improve availability of medical services.
“2:00 PM – 5:00 PM Access to Care Collaborative”.
“10:00 AM - !2:00 PM Meeting the Transportation needs in our community – Collaborative”.
This function is to be used by all staff when performing activities that are related to program specific administration which are identifiable and direct charged to the program. Office related general task.
“8:00 AM – 8:30AM Responding to E-Mails, returned 2 calls.”
“ 2:30 PM – 3:30 PM Preparing forms for new CPSP provider packets.”
“1:30 PM – 2:30 PM MCAH staff meeting”.
“4:30 PM – 5:00 PM Complete weekly Time Study”.
This function is to be used only when training is provided for or by skilled professional medical personnel and only when the training activities directly relate to the SPMP’s performance of specifically allowable SPMP administrative activities.
“8:00 AM – 5:00 PM CPSP Executive Committee Meeting”.
“8:00 AM – 5:00 PM New PSC training”.
“8:00 AM – 1:00 PM UCLA OB/GYN Department presents “Managing preterm labor”.
This function is to be used by all staff when training relates to non-SPMP allowable administrative activities and to the medical care of clients.
“11:00 AM - 1:00 PM CPSP for San Andres Women and Children clinic staff”.
“ 1:30 PM – 2:30 PM Training on new MediCal forms - Dr. Rosen & staff – Diamond Bar”.
This function is to be used by onlyby skilled professional medical personnel and only when performing program planning and policy development activities. The SPMP’s tasks must officially involve program planning and policy development, and those tasks must be identified in the employee’s job description/duty statement.
“3:00 PM – 4:30 PM Meeting w Kaiser S.S.F CPSP coordinator review compliance w program requirements”.
“2:00 PM – 3:00 PM Review & prepare Dr Shah’s CPSP application for submission.”
“1:30 PM – 3:30 PM Southern Regional Perinatal Committee Meeting”.
“ 2:00 PM – 4:00 PM Review quarterly birth statistic”.
This function is to be used by only by skilled professional medical personnel and only when performing quality management activities such as monitoring the authorization for medical services (utilization review) process, ongoing program assessment and evaluation, and the development of standards and protocols.
“9:00 AM – 11:00 AM Record reviews provider - Dr. Babson.”
“1:00 PM – 3:30 PM Reviewing and updating CPSP providers protocols.”
“9:00 AM - 12:30 PM – Chart review for 5 clients Dr. Gonzales Office – Provider #65-0043.”
This function is to be used by all staff when performing non-program specific administrative activities that relate to multiple functions or to no specific, identifiable functions due to the general nature of the activities.
“1:30 PM - 2:30 PM Monthly Public Health Department Mtg.
“1:30 PM – 4:30 PM Bioterrorism Training”.
“9:00 AM – 11:00 AM CHP Safety Driving Training”.
“9:00 AM – 12:00 PM CPR Training”.
“2:30 PM – 3:30 PM Sexual Harassment Training”.
Any activity that is not part of or on behalf of the CPSP program is not matchable.
This function is to be used by all staff to record usage of paid leave, holiday, vacation, sick leave and so on.
“8:00 AM – 5:00 PM – Vacation”.
“8:00 AM – 5:00 PM – Holiday”.
“3:00 PM – 5:00 PM Dentist”.
“8:00 AM – 5:00 PM Jury Duty”.
*Non-paid leave is not noted or coded on the Time Study.
For example: your lunch, compensatory time off (CTO) or flex time.