AmeriHealth will soon change the way members are enrolled in our Baby FootSteps
maternity program. The overall goal of the Baby FootSteps program ? to reach
out to members who have been identified as having risk factors within their
first trimester of pregnancy ? is not changing.
Beginning May 6, 2013, when AmeriHealth maternity members come in for their
first prenatal visit, they no longer need to complete the Initial Maternity
Patient Questionnaire (IMPQ). Instead, we ask that you let them know about the
Baby FootSteps program:
For Pennsylvania and Delaware members. Please encourage these members to
self-enroll by calling our toll-free number, [
]1-800-598-BABY[]. Upon calling, a Health Coach will
explain the program to the member and ask her a series of questions to complete
the enrollment process.
For New Jersey members. Please encourage these members to enroll by calling
[
]1-800-313-8628[], selecting prompt 3, and leaving
a message. Members can also log on to amerihealthexpress.com to complete an
online form to contact a case manager.
Once enrolled in the program, Pennsylvania and Delaware members will receive a
welcome letter that includes information on how to access educational materials
on our secure member website, amerihealthexpress.com, and the [
]1-800-598-BABY[] phone number for questions and support
during pregnancy. In addition, high-risk members will be given the name and
contact information for their Health Coach. New Jersey members will still
receive the same information they do today.
If in subsequent prenatal visits you discover that a maternity member has not
yet self-enrolled in Baby FootSteps, or you feel that she may benefit from case
management due to a high-risk pregnancy, you can refer the member to the
program by completing an online [
]physician referral form[].
When you submit the online referral form, we will make certain that members who
need additional support are encouraged to enroll in case management. You can
also call [
]1-800-275-2583[] to refer a high-risk
maternity member for case management.
[
]Changes in the prenotification process[
]
Currently, once an IMPQ is submitted for a member, the submission generates a
maternity prenotification number that providers can view through the
NaviNet[
]?[] web portal using the Authorizations transaction. With
the discontinuation of the IMPQ, a prenotification number will no longer be
generated. Therefore, as of May 6, 2013, you will no longer need to obtain
prenotification or notify AmeriHealth of the delivery.
Note: Providers must continue to inform AmeriHealth of any OB antepartum
admissions, any babies admitted to the neonatal intensive care unit (NICU), and
any detained babies.
If you have any questions about these changes, please call Customer Service at
[
]1-800-275-2583[].
Please continue to enroll maternity members using the IMPQ until May 3, 2013.
[
]NaviNet[]?[] is a registered trademark of
NaviNet.[
]