DHCS details birthing care pathway changes and $17M pilot for payment reform in Central Valley
Aug 5, 2026
The Department of Health Care Services described a birthing care pathway roadmap, policy updates to sustain community health workers and doulas as Medi‑Cal providers, and a $17 million federal pilot to test a transporting maternal health payment model in five Central Valley counties.
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Chris Esguerra of the Department of Health Care Services told legislators the department is revising policy to improve continuity across prenatal, delivery and postpartum care, and to remove administrative barriers that have limited payments to community health workers and doulas. He said the department has completed about 30 policy updates and plans to finish 42 by year‑end.
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