Member Handbook - Los Angeles County Department of Health ...

Medi-Cal Member Handbook / Benefit Year 2006-2007Newborn CareYour newborn baby will be covered byCommunity Health Plan for the month of birthand the following month.When you have a baby, it is important to dothree things:1. Please call L.A. Care at 1-888-452-2273.We want to make sure you and yourbaby get the care you need right away.2. Contact your eligibility worker at DPSStoll-free at 1-877-481-1044 to enrollyour baby in Medi-Cal. This is importantso that your baby can continue toreceive Medi-Cal benefits!3. Take your baby to the doctor withinthree days after you go home from thehospital. A Community Health Plandoctor in your network should see yournewborn baby within a few days afterbirth. Call Community Health Plan.Newborn baby screenings for certain treatablegenetic disorders are covered. These geneticdisorders include:• Phenylketonuria (PKU)• Galactosemia• Hypothyroidism• Sickle cell disease• Related blood disordersBabies with these conditions will be referred toCalifornia Children’s Services (CCS) for treatmentor to Community Health Plan if thetreatment is not covered by CCS. Treatment ofPKU includes medically prescribed formulas andspecial food products. PKU cases are followed bya health care professional who consults with adoctor specializing in PKU-related diseases. Thisis talked about in the section, “More benefits:What other services can I get? in this handbook.Obstetrical/Gynecological (Ob/Gyn)Pregnant members do not need a referral or okayfrom their PCP doctor or Community Health Planto see an Ob/Gyn who works in their network.Please call Community Health Plan if you haveany questions.Podiatry (services for the feet)• Podiatry services are limited and require priorauthorization except when received on anemergency basis.Prenatal Care• Regular doctor visits during your pregnancy(called “prenatal” visits)• Diagnostic and genetic testingReconstructive Surgery• Reconstructive surgery repairs abnormal bodyparts, improves body function or brings back anormal look.Sexually Transmitted Disease (STD)ServicesSTD services include:• Preventive care• Screening• Testing• Diagnosis• Counseling• Treatment• Follow-upYou can get confidential STD services from anydoctor or clinic. You do not need a referral orokay from your doctor.17Community Health Plan Member Services Department toll-free 1-800-475-5550L.A. Care Health Plan Member Services Department toll-free 1-888-4LA-Care or 1-888-452-2273