TABLE 5.1 Sources of Care for Pregnant Women
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Provider
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Source of Funding for Service
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Eligibility for Service
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Oversight/Reporting by Provider
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HIV Guidance
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Practicing physicians and nurse practitioners
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Patient fees; insurance; Medicaid
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Determined by provider and/or MCO
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State licensing authority; MCO
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CDC; professional organizations; sometimes MCOs
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Health department clinics (state and local)
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Federal (especially MCHSBG), state, local governments; Medicaid; patient fees; sometimes insurance
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Usually all within jurisdiction, with some limits based on income
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Federal, state, and local governments or boards of health
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CDC; state health departments; some local health departments
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Community, migrant, and homeless health centers
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Largely federal (BPHC); some state and local governments Medicaid; patient fees; insurance
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May restrict to catchment area
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Federal (BPHC), state, local governments; boards of directors
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CDC: BPHC; state and local governments
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Public and non-profit hospital outpatient facilities
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Some state and local subsidies; Medicaid; patient fees; insurance
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Public: usually all within community served
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Public: governmental unit
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Non-profit: usually no restriction
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Non-profit: board of directors
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Family planning clinics, and women's health centers
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Federal (especially family planning funds), state, local governments; Medicaid; patient fees
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Usually no restrictions
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Federal (Office of Population Affairs, DHHS), state, and local governments or boards of health; boards of directors
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Office of Population Affairs (DHHS); CDC, state health departments, and some local health departments
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Drug treatment facilities
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Federal (especially SAMHSA), state, local governments
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Few restrictions
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Federal (SAMHSA), state, and local governments
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SAMHSA
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Prisons
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Federal and state funds; ADAP for some county systems
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All inmates
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Federal, state, and county prison systems
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Federal prison system; some state systems
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NOTE: ADAP: AIDS Drug Assistance Program; BPHC: Bureau of Primary Health Care; CDC: Centers for Disease Control and Prevention; DHHS: Department of Health and Human Services; MCHSBG: Maternal and Child Health Services Block Grant; MCO: managed care organization; and SAMHSA: Substance Abuse and Mental Health Services Administration.
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