Access for Infants and Mothers Program Banner

Services Available to Your Baby Through the Medi-Cal Access Infant Program

DHCS Health Care Services NOTE: Medi-Cal provides a comprehensive set of health benefits which may be accessed as medically necessary:
Ambulatory Patient Services
  • Physician Services
  • Hospital Outpatient & Outpatient Clinic Services
  • Outpatient Surgery (Includes anesthesiologist services)
  • Podiatry
  • Chiropractic
  • Allergy Care
  • Treatment Therapies (Chemotherapy, radiation therapy, etc.)
  • Dialysis/Hemodialysis
Prescription Drugs
  • Coverage is at least the greater of one drug in each U.S. Pharmacopeia (USP) category and class
  • Beneficiaries may receive up to a 100-day supply of many medications
Emergency Services
  • ER: All inpatient and outpatient services that are necessary for the treatment of an emergency medical condition, including dental services, as certified by the attending physician or other appropriate provider
  • Ambulance Services
Rehabilitative and Habilitative Services and Devices
  • Physical Therapy
  • Durable Medical Equipment
  • Hearing Aids
  • Speech Therapy
  • Occupational Therapy
  • Acupuncture
  • Cardiac Rehabilitation
  • Pulmonary Rehabilitation
  • Medical Supplies, Equipment, Appliances (including implanted hearing devices)
  • Orthotic/Prostheses
  • Home Health Services
  • Skilled Nursing Facility Services (90 days)
Hospitalization
  • Inpatient Hospital Services
  • Anesthesiologist Services
  • Surgical Services (Bariatric, Reconstructive Surgery, etc.)
  • Organ & Tissue Transplantation
Laboratory Services
  • Outpatient Laboratory and X-Ray Services
  • Various advanced imaging procedures are covered based on medical necessity
Maternity and Newborn Care
  • Prenatal Care
  • Delivery and Postpartum Care
  • Breastfeeding Education
  • Nurse Midwife Services
Preventative and Wellness Services and Chronic Disease Management
  • United States Preventive Services Task Force A & B Recommended preventative services
  • Advisory Committee for Immunization Practices recommended Vaccines
  • HRSA’s Bright Futures Recommendations
  • Preventive services for women recommended by the Institute of Medicine
  • Family Planning Services
  • Smoking Cessation Services
Mental health and Substance use Disorder (SUD) services including behavioral health treatment
  • Outpatient Mental Health Services
  • Outpatient Specialty Mental Health Services
  • Inpatient Specialty Mental Health Services
  • Outpatient Substance Use Disorder Services
  • Residential Treatment Services
  • Voluntary Inpatient Detoxification
Pediatric Services Including Oral and Vision Care

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) is a Medi-Cal benefit for individuals under the age of 21 who have full-scope Medi-Cal eligibility. EPSDT provides for periodic screenings to determine health care needs and in addition to the standard Medi- Cal benefits, a beneficiary under the age of 21 may receive extended services as medically necessary

Other:
Dental
  • Emergency dental services
  • Dentures
  • Dental implants and implant-retained prostheses
  • EPSDT and Pregnant Women receive extended dental benefits
Vision
  • 1 routine eye exam in 24 months: test for prescription eyeglasses or contact lenses, test for low vision
  • EPSDT and Pregnant Women receive extended vision benefits
Non-Emergency Medical Transportation Services

Ambulance, litter van, or wheelchair van only when ordinary public or private conveyance is medically contra-indicated and transportation is required for obtaining needed medical care for Medi-Cal benefit

Long Term Services and Supports
  • Skilled Nursing Facility Services (91+days)
  • Personal Care Services
  • Self-Directed Personal Assistance Services
  • Community First Choice Option
  • Home and Community Based Services