Tag - Postpartum

05Jan

A suitable timeline for prenatal and postpartum care

Timely prenatal and postpartum care is an important component of successful health outcomes for women and their babies, as well as a measure of quality care. Prenatal visit The first prenatal visit must be rendered in the first trimester or during the first 42 days of enrollment into the health plan to meet the standards set forth by Healthcare Effectiveness Data and Information Set (HEDIS). Postpartum visit In order for the visit to qualify as a postpartum visit, it must include documentation in the...

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27Sep

Improve maternal health outcomes through immediate postpartum LARC insertion

Immediate postpartum Long Acting Reversible Contraception (LARC) insertion refers to the insertion of an intrauterine device (IUD) in the delivery room immediately after delivery of the placenta, or insertion of an IUD or subdermal contraceptive implant prior to hospital discharge. LARCs are beneficial to subsequent maternal health outcomes as they enhance family planning and safer birth spacing.   The postpartum period is a convenient opportunity to initiate LARCs, especially given the engagement of women with health care services during this time. In...

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15Aug

LARCs during the postpartum period

In order to maximize the time before termination of Medicaid coverage for pregnant women, we recommend scheduling the postpartum visit at 3 to 5 weeks after delivery. This allows sufficient time to bring the patient back for Long-acting Reversible Contraception (LARC) insertion before termination of benefits and after the postpartum visit has been completed. For LARCs, the provider will bill for both insertion of the device and the device itself. The date of the insertion and the date of the device...

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24May

The Texas Clinician’s Postpartum Depression Toolkit

A new resource for screening, diagnosis and treatment of postpartum depression. Click here to view this helpful resource for postpartum depression: http://www.texaschildrenshealthplan.org/sites/default/files/pdf/the_texas_clinicians_postpartum_depression_toolkit%20FINAL.pdf

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01May

Provider Alert! Screening for Maternal Depression – Essential to Child Well-Being

Effective January 1, 2017, Texas Children’s Health Plan will reimburse providers for maternal depression screening conducted at a well-child visit. Postpartum depression screening utilizing the Edinburgh Postnatal Depression Scale may be reimbursed up to 2 times per member ages 0-6 months, using CPT code 96161. Code 96161 is used to report the use of a standardized instrument to screen for health risks in the caregiver for the benefit of the patient. The reimbursement for this code will be based on...

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