Providers of Perinatal Care Sample Clauses

Providers of Perinatal Care. For all contracts with a provider of perinatal care, a provision that outlines the model for perinatal care consistent with the Department’s Pregnancy Management Program. All contracts with Obstetricians shall include a

Providers of Perinatal Care. If the PO renders perinatal care, PO agrees to comply with the Department’s Pregnancy Management Program to: A. Complete the standardized risk-screening tool at each visit. B. Allow Plan or Plan’s designated vendor access to medical records for auditing purposes to measure performance on specific quality indicators. C. Commit to maintaining or lowering the rate of elective deliveries prior to thirty - nine weeks’ gestation. D. Commit to decreasing the cesarean section rate among nulliparous women. E. Offer and provide 17 alpha-hydroxyprogesterone caproate (17p) for the prevention of preterm birth to women with a history of spontaneous preterm birth who are currently pregnant with a single gestation. F. Complete a high-risk screening on each pregnant Medicaid Managed Care Member in the program and integrate the plan of care with local pregnancy care management. G. Decrease the primary cesarean delivery rate if the rate is over the Department’s designated cesarean rate (note: the Department will set the rate annually, which will be at or below twenty percent (20%). H. Ensure comprehensive post-partum visits occur within fifty-six (56) days of delivery.

Providers of Perinatal Care. To the extent that Participating Provider offers prenatal, perinatal, and postpartum services or is an obstetrician, Participating Provider shall comply with NC DHHS’s Pregnancy Management Program. The Pregnancy Management Program is a set of mandatory standards and clinical initiatives aimed at improving the quality of pregnancy care, improving maternal and infant outcomes and reducing health care costs among participating providers. Participating Provider shall: (a) complete the standardized risk-screening tool at each initial visit; (b) allow Carolina Complete or Carolina Complete’s designated vendor access to medical records for auditing purposes to measure performance on specific quality indicators; (c) commit to maintaining or lowering the rate of elective deliveries prior to thirty-nine (39) weeks gestation; (d) commit to decreasing the cesarean section rate among nulliparous women; (e) offer and provide 17 alpha-hydroxyprogesterone caproate (17p) for the prevention of preterm birth to women with a history of spontaneous preterm birth who are currently pregnant with a xxxxxxxxx gestation; (f) complete a high-risk screening on each pregnant Medicaid Managed Care Covered Person in the program and integrate the plan of care with local pregnancy care management; (g) decrease the primary cesarean delivery rate if the rate is over NC DHHS’s designated cesarean rate (NC DHHS will set the rate annually at or below twenty percent (20%)); and (h) ensure comprehensive post-partum visits occur within fifty-six (56) days of delivery (Section VII, G(1)(u)) and M(3)).