TABLE 5.1 Sources of Care for Pregnant Women

Provider

Source of Funding for Service

Eligibility for Service

Oversight/Reporting by Provider

HIV Guidance

Practicing physicians and nurse practitioners

Patient fees; insurance; Medicaid

Determined by provider and/or MCO

State licensing authority; MCO

CDC; professional organizations; sometimes MCOs

Health department clinics (state and local)

Federal (especially MCHSBG), state, local governments; Medicaid; patient fees; sometimes insurance

Usually all within jurisdiction, with some limits based on income

Federal, state, and local governments or boards of health

CDC; state health departments; some local health departments

Community, migrant, and homeless health centers

Largely federal (BPHC); some state and local governments Medicaid; patient fees; insurance

May restrict to catchment area

Federal (BPHC), state, local governments; boards of directors

CDC: BPHC; state and local governments

Public and non-profit hospital outpatient facilities

Some state and local subsidies; Medicaid; patient fees; insurance

Public: usually all within community served

Public: governmental unit

 

 

 

Non-profit: usually no restriction

Non-profit: board of directors

 

Family planning clinics, and women's health centers

Federal (especially family planning funds), state, local governments; Medicaid; patient fees

Usually no restrictions

Federal (Office of Population Affairs, DHHS), state, and local governments or boards of health; boards of directors

Office of Population Affairs (DHHS); CDC, state health departments, and some local health departments

Drug treatment facilities

Federal (especially SAMHSA), state, local governments

Few restrictions

Federal (SAMHSA), state, and local governments

SAMHSA

Prisons

Federal and state funds; ADAP for some county systems

All inmates

Federal, state, and county prison systems

Federal prison system; some state systems

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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