REMINDER: The last day to submit IMPQs
is Friday, May 3, 2013.
Beginning May
6, 2013, changes to the way AmeriHealth members are enrolled in our Baby
FootSteps maternity program will be effective. 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 — has not
changed.
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 self-enroll by calling 1-800-313-8628, selecting
prompt 3, and leaving a message. Members can also log on to our secure member
website, 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 continue to
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.
Member resource available
A flyer is available upon request to
place in the member?s chart and distribute at the first prenatal visit to
encourage her to enroll in the Baby FootSteps program. To order flyers, please
submit an online
request or call the Provider Supply Line at 1-800-858-4728.
Changes in the prenotification
process
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, as claim payment is not dependent on prenotification.
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.
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