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Medi-Cal Access Program (MCAP) provides pregnant individuals with comprehensive coverage for no-cost with no copayments or deductibles for its covered services. Their newborns may be covered by the Medi-Cal Access Infant Program.
We will cover medically necessary genetic testing for members who may be at high-risk for certain conditions. You must receive prior approval. View the plan brochures for details.
BCBSNC will provide coverage for the Ultrasound, Fetal Echocardiography, and Prenatal Genetic and Chromosomal Metabolic Testing when it is determined to be medically necessary because the medical criteria and guidelines noted below are met. *Please see appropriate section for policy guidelines.
Anthem Medicaid (Anthem) offers maternity coverage on a group basis and, as such, covers prenatal diagnosis of genetic disorders of the fetus by means of diagnostic procedures in cases of high-risk pregnancy.
Providers: It is important that you fill out a Notification of Pregnancy as soon as possible after confirming a members pregnancy. This enables us to provide any needed supports and services early in a members pregnancy to support our shared goal of healthy pregnancies and healthy babies.
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