Maternity Stays. (A) The Contractor is responsible for paying for and providing post-delivery care services to a mother who is an Enrollee and her newborn as follows: (1) inpatient care for a minimum of 48 hours of inpatient care following a normal vaginal delivery; (2) inpatient care for a minimum of 96 hours of inpatient care following a caesarean section; and (3) the Contractor shall not require the Provider attending the mother and her newborn to obtain authorization from the Contractor in order to keep the mother and her newborn in the inpatient setting for the periods of time described in Article 4.5.3 (A)(1) or (2). (B) The Contractor shall not be required to provide coverage for post-delivery inpatient care for a mother who is an Enrollee and her newborn during the periods described in Article 4.5.3(A)(1) or (2) if: (1) the attending Provider, in consultation with the mother, discharges the mother and the newborn prior to the expiration of the time periods described in Article 4.5.3(A)(1) or (2); and (2) the Contractor provides Timely Post-Delivery Follow-Up Care. (C) Post-delivery care shall be provided to a mother and her newborn by a registered nurse, physician, nurse practitioner, nurse midwife or physician assistant experienced in maternal and child health in a hospital.
Appears in 2 contracts
Samples: Chip Select Health Amendment 1, Contract
Maternity Stays. (A) The Contractor is responsible for paying for and providing post-delivery care services to a mother who is an Enrollee and her their newborn as follows:
(1) inpatient care for a minimum of 48 hours of inpatient care following a normal vaginal delivery;
(2) inpatient care for a minimum of 96 hours of inpatient care following a caesarean section; and
(3) the Contractor shall not require the Provider attending the mother Enrollee and her their newborn to obtain authorization from the Contractor in order to keep the mother Enrollee and her their newborn in the inpatient setting for the periods of time described in Article 4.5.3 4.5.1 (A)(1) or (2).
(B) The Contractor shall not be required to provide coverage for post-delivery inpatient care for a mother who is an Enrollee and her their newborn during the periods described in Article 4.5.3(A)(14.5.1(A)(1) or (2) if:
(1) the attending Provider, in consultation with the motherEnrollee, discharges the mother Enrollee and the newborn prior to the expiration of the time periods described in Article 4.5.3(A)(14.5.1(A)(1) or (2); and
(2) the Contractor provides Timely Post-Delivery Follow-Up Care.
(C) Post-delivery care shall be provided to a mother Enrollee and her their newborn by a registered nurse, physician, nurse practitioner, nurse midwife or physician assistant experienced in maternal and child health in a hospital.
Appears in 2 contracts
Samples: Managed Care Contract, Managed Care Contract
