19-960 First Prenatal Visit Timeframe Change

Date: 12/06/19

First Prenatal Visit Availability Time Frame Change

Providers to see members within two weeks of request

The standard time frame for scheduling first prenatal visits has changed from
10 business days to two weeks from receipt of request. This is in line with the Department of Health Care Services (DHCS) regulations for timely access to care.

Going forward, please ensure your office offers the first prenatal appointment within two weeks of the member’s request.

Additional information

Relevant sections of the provider operations manuals have been revised to reflect the information contained in this update as applicable. The provider operations manual is available in the Provider Resources section of the provider website at www.CAHealthWellness.com.

Providers are encouraged to access California Health & Wellness Plan’s (CHWP’s) provider portal online at www.CAHealthWellness.com for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.

If you have questions regarding the information contained in this update, contact CHWP at 1-877-658-0305.