Perinatal Services. The HMO’s perinatal health care services must ensure appropriate care is provided to women and infant Members of the HMO from the preconception period through the infant’s first year of life. The HMO’s perinatal health care system must comply with the requirements of the Texas Health and Safety Code, Chapter 32 (the Maternal and Infant Health Improvement Act) and administrative rules codified at 25 T.A.C. Chapter 37, Subchapter M. The HMO must have a perinatal health care system in place that, at a minimum, provides the following services:
Perinatal Services. The MCO's perinatal Health Care Services must ensure appropriate care is provided to women and infant Members from the preconception period through the infant's first year of life. The MCO's perinatal health care system must comply with the requirements of the Texas Health and Safety Code, Chapter 32 (the Maternal and Infant Health Improvement Act) and administrative rules codified at 25 T.A.C. Chapter 37, Subchapter M. The MCO must have a perinatal health care system in place that, at a minimum, provides the following services:
Perinatal Services. 6.9.1 HMO's perinatal health care services must ensure appropriate care is provided to women and infants who are Members of HMO, from the preconception period through the infant's first year of life. HMO's perinatal health care system must comply with the requirements of Health & Safety Code, Chapter 32 Maternal and Infant Health Improvement Act and 25 TAC Section 37.233 et seq.
Perinatal Services. 4.6.9.1 The Contractor shall ensure that appropriate perinatal care is provided to women and newborn Members. The Contractor shall have adequate capacity such that any new Member who is pregnant is able to have an initial visit with her Provider within fourteen (14) Calendar Days of Enrollment. The Contractor shall have in place a system that provides, at a minimum, the following services:
Perinatal Services. 4.6.9.1 The Contractor shall ensure that appropriate perinatal care is provided to women and newborn Members. The Contractor shall have adequate capacity such that any new Member who is pregnant is able to have an initial visit with her Provider within fourteen (14) Calendar Days of Enrollment. The Contractor shall have in place a system that provides, at a minimum, the following services: · Pregnancy planning and perinatal health promotion and education for reproductive-age women; · Perinatal risk assessment of non-pregnant women, pregnant and post-partum women, and newborns and children up to five (5) months of age; · Childbirth education classes to all pregnant Members and their chosen partner. Through these classes, expectant parents shall be encouraged to prepare themselves physically, emotionally, and intellectually for the childbirth experience. The classes shall be offered at times convenient to the population served, in locations that are accessible, convenient and comfortable. Classes shall be offered in languages spoken by the Members. · Access to appropriate levels of care based on risk assessment, including emergency care; · Transfer and care of pregnant women, newborns, and infants to tertiary care facilities when necessary; · Availability and accessibility of OB/GYNs, anesthesiologists, and neonatologists capable of dealing with complicated perinatal problems; and · Availability and accessibility of appropriate outpatient and inpatient facilities capable of dealing with complicated perinatal problems.
Perinatal Services. 6.9.2 HMO must have a perinatal health care system in place that, at a minimum, provides the following services:
Perinatal Services. Provide alcohol and drug treatment intervention and treatment services to pregnant and postpartum women who have a substance use, mental health and/or co-occurring disorder.
Perinatal Services. 46 6.10 EARLY CHILDHOOD INTERVENTION (ECI)............................... 47 6.11 SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC) - SPECIFIC REQUIREMENTS.................................... 48 6.12 TUBERCULOSIS (TB)................................................ 49 6.13 PEOPLE WITH DISABILITIES OR CHRONIC OR COMPLEX CONDITIONS........ 50 6.14 HEALTH EDUCATION AND WELLNESS AND PREVENTION PLANS............... 52 6.15 SEXUALLY TRANSMITTED DISEASES (STDs) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV)..................................... 53 6.16
Perinatal Services. A. Prenatal Care Contractor shall cover and ensure the provision of all Medically Necessary services for pregnant Members. Contractor shall ensure that the most current standards or guidelines of the American College of Obstetricians and Gynecologists (ACOG) are utilized to provide, at a minimum, quality perinatal services.
Perinatal Services i. Perinatal services shall address treatment and recovery issues specific to pregnant and postpartum women, such as relationships, sexual and physical abuse, and development of parenting skills.
