Newborns. 4.2.5.1 When a child is born to a mother enrolled in Centennial Care, the hospital or other provider shall complete a Notification of Birth, MAD Form 313, or its successor, prior to or at the time of discharge. HSD shall ensure that upon receipt of the MAD Form 313 the eligibility process is immediately commenced and that upon completion of the eligibility process the newborn is enrolled into his or her mother’s MCO.
Newborns. 4.2.6.1 When a child is born to a mother enrolled in Turquoise Care, the hospital or other Provider shall notify the HCA of the child’s birth. Hospitals or other Providers shall notify HCA by either using the electronic process available through the Baby Bot program (or its successor) or by completing a Notification of Birth, MAD Form 313 (or its successor) prior to or at the time of discharge. Upon receipt of the notification of the child’s birth, HCA shall ensure that the eligibility process is immediately commenced and that upon completion of the eligibility process the newborn is enrolled into their mother’s MCO.
Newborns. (1) Mother Enrolled with the MCO under this Contract. Eligible newborns born to mothers enrolled in the MCO under this Contract will be enrolled in the same MCO as the mother for the birth month in accordance with STATE policies and procedures, unless the newborn at the time of enrollment meets one of the exclusion reasons listed in section 3.1.1(C).
Newborns. 3.2.2.7.1 Newborns born to mothers who are DSHP or DSHP Plus members at the time of the child’s birth will be Enrolled in their mother’s MCO. If the mother is not Enrolled with an MCO but the child is eligible for Medicaid or CHIP, the birth is covered by fee-for-service Medicaid or CHIP, and the child and the mother will be Enrolled in the same MCO.
Newborns. For the Traditional Attribution Cohort, children born to an Attributed Member mother after September 30 prior to the Performance Year, will not be attributed to Contractor in the Performance Year. For the Expanded Attribution Cohort, children born to an Attributed Member mother after October 30 prior to the Performance Year will not be attributed to Contractor in the Performance Year.
Newborns. The STATE will pay to the MCO a Capitation Payment for the birth month of an eligible newborn Enrollee if the mother was enrolled in the MCO during the month of the Child’s birth and eligibility is established for the Child. Payment for succeeding months will be determined pursuant to section 3.1.3,
Newborns. 4.2.5.1 When a child is born to a mother enrolled in Centennial Care, the hospital or other provider shall complete a Notification of Birth, MAD Form 313, or its successor, prior to or at the time of discharge. HSD shall ensure that upon receipt of the MAD Form 313 the eligibility process is immediately commenced and that upon completion of the eligibility process the newborn is enrolled into his or her mother’s MCO.
4.2.5.2 Medicaid eligible newborns are eligible for a period of thirteen (13) months, starting with the month of birth. The newborn shall be enrolled retroactively to the month of birth with the mother’s MCO.
4.2.5.3 When a Medicaid-eligible child is born to a mother on the New Mexico Health Insurance Exchange and the mother’s Qualified Health Plan is also a Centennial Care MCO, the newborn shall be enrolled retroactively to the month of birth with that Centennial Care MCO.
4.2.5.4 When a Medicaid-eligible child is born to a mother on the New Mexico Health Insurance Exchange and the mother’s Qualified Health Plan is not a Centennial Care MCO, the newborn shall be auto assigned and enrolled in a Centennial Care MCO (in accordance with Section 4.2.4 of this Agreement) retroactively to the month of birth. The mother shall have one (1) opportunity anytime during the three (3) months from the effective date of enrollment to change the newborn’s MCO assignment.
4.2.5.5 Newborns are not considered part of the retroactive reconciliation period if the mother of the newborn is enrolled in Centennial Care at the time of delivery.
Newborns. Babies born to SCHIP members are not automatically eligible. A separate application must be filed and an eligibility determination must be made by SCDHHS. See the Policy and Procedure Guide.
Newborns a) The Passenger may travel after 48 hours from birth if he was full-term (born at 38 weeks gestation or later) and no complications occurred (during pregnancy, birth and since birth);
Newborns. 4.2.6.1 When a child is born to a mother enrolled in Turquoise Care, the hospital or other Provider shall complete a Notification of Birth, MAD Form 313 or its successor, prior to or at the time of discharge. HSD shall ensure that upon receipt of the MAD Form 313 or its successor, the eligibility process is immediately commenced and that upon completion of the eligibility process the newborn is enrolled into their mother’s MCO.
