The prenatal, newborn and improved CHDP gateways lay a foundation for coordinated enrollment modernization in all health programs. Read MCHA’s analysis of what could be done under the federal Children's Health Insurance Program Reauthorization Act (CHIPRA), signed into law in February, 2009, to improve enrollment, gain bonus payments for the state and cover more people sooner HERE
Maternal and Child Health Access is making available in one place its flyers and instructions for successfully enrolling in Medi-Cal a newborn or infant (up to one year old). These materials can be used with women postpartum in the hospital or prenatally in clinics and providers' offices. It is a "Best Practice" to have a pregnant woman on Medi-Cal fill out a Newborn Referral Form in anticipation of her baby's arrival , and fax it to the Department of Public Social Services after the baby’s birth if the new mom can’t get hold of her Eligibility Worker. Furthermore, infants enrolled in this way are designated as already having fulfilled the Deficit Reduction Act requirement to show proof of citizenship and identity.
Pregnant Woman Flyer (English)
Pregnant Woman Flyer (Spanish)
This flyer provides information to pregnant women about how her newborn will access care before he/she receives their own Medi-Cal card and what steps can be taken to get the newborn his/her own card that can be used for the first year of life.
Client (Post Birth Flyer-English)
Client (Post Birth Flyer-Spanish)
This flyer provides two options for getting the newborn his/her own Medi-Cal card that can be used for the first year of life. There is also information on locating the family’s case information via Los Angeles County’s Health and Nutrition Helpline.
Hospital Flyer (Post Birth-English)
Hospital Flyer (Post Birth-Spanish)
This flyer provides information to parents about getting their newborn his/her own Medi-Cal card that can be used for the first year of life.
Newborn Referral Instructions
Line by line instructions are provided to assist with filling out the Newborn Referral form.
Newborn Referral Form - English (MC-330)
This is the state’s form that should ensure automatic and continuous eligibility for infants who are born to
with Medi-Cal eligible mothers. Since the passage of the federal Children's Health Insurance Program Reauthorization Act (CHIPRA), babies no longer have to live with their Medi-Cal eligible mothers in order to use the Newborn Referral or receive Deemed Eligibility (DE) from date of birth. Thus, foster care infants may be DE.
Newborn Referral Form - Spanish (MC-330)
This is the state’s form that should ensure automatic and continuous eligibility for infants who are born toMedi-Cal eligible mothers. Since the passage of the federal CHIPRA, babies no longer have to live with their Medi-Cal eligible mothers in order to use the Newborn Referral or receive Deemed Eligibility (DE) from date of birth. Thus, foster care infants may be DE.
The Newborn Referral Form is a state form in English and Spanish. The forms linked here are for Los Angeles, with LA's centralized fax number at the top of the form. For other counties, see below for a link to the state website with each county's fax number.
Newborn Enrollment Forms (Los Angeles - English & Spanish)
Newborn Referral Forms (MC 330) - – Fax numbers have been updated on forms listed on the state website – see
State website for Newborn Enrollment Form-English
State website for Newborn Enrollment Form-Spanish
If your county’s fax or phone is incorrect, PLEASE let us know.
For more information or a training on newborn enrollment in all coverage programs, contact:
Liz Ramirez at email@example.com or (213)
749-4261 ext 317.
The Newborn Enrollment Project began in 2002, a statewide initiative of Maternal and Child Health Access, and was re-named The Women and Infants Enrollment Project in 2005 to better reflect work done with health coverage enrollment of pregnant women as well. Originally funded through the generosity and vision of The David and Lucile Packard Foundation, the project is collecting information and reporting on:
- The policies and procedures used by Medi-Cal, Healthy Families, the Access for Infants and Mothers (AIM) program and various county Healthy Kids programs for newborn enrollments by the state and among the 58 counties, including best practices.
- The barriers families face to timely enrollment after a baby is born and what program changes could remove barriers.
- The barriers pregnant women face to begin enrollment, how Presumptive Eligibility is used and barriers to continued enrollment.
- How Deemed Eligibility through the CHDP Gateway for infants (begun in June 2004) is working and could be improved to cover even more eligible infants through their first birthday.
We communicate with providers, plans, and consumers statewide, the counties, and staff at the state Department of Health Services and the Managed Risk Medical Insurance Board (MRMIB) to learn from their perspectives and the ideas they may have for improving newborn enrollments and access. We have held and continue to hold regional meetings to discuss pregnant women and newborn enrollment and access issues and program options for Medi-Cal, Healthy Families, AIM and county health coverage programs.
Lynn Kersey firstname.lastname@example.org or
Lucy Quacinella, Multiforum Advocacy Solutions Lucy@Quacinella.com