Baby Partners provides support for your patients throughout pregnancy and postpartum. Our care coordination team is here to support your patients' health care needs by helping them manage their care.
- Ongoing telephonic care management by a nurse or social worker
- Doula support in labor
- Coordination of well mom and baby visits
- Transportation services to medical and behavioral health appointments
- Referrals to community resources for cribs, car seats and other help
- Prenatal and postpartum home care visits performed by an in-network home care agency. Prior authorization is not required for the following home care visits:
- High-risk prenatal home care visits
- Postpartum well visits for mother and baby
*One well-baby visit is covered without prior authorization. If further visits are medically indicated, follow the usual procedure code for obtaining prior authorization.
Through our Baby Partners program, we provide support for your patients throughout pregnancy and postpartum.
Our Pregnancy Hot Topics and Resources guide offers additional information and resources that may be helpful in supporting your patients, our members, in achieving a healthy pregnancy, delivery and postpartum care.
Please use the information below for suggested ICD-10 codes for correct claims submissions of postpartum home care visits.
First visit between 1 to 21 days post-delivery, preferably within the first 7 days:
Focus: Mother and baby; use mother’s member ID
Procedure Code: 99501
Diagnosis Code: Z39.2, routine postpartum follow-up
Second visit before 84 days post-delivery
Focus: Mother and baby; use mother’s member ID
Procedure Code: 99501
Diagnosis Code: Z39.2, routine postpartum follow-up
Visit for evaluation of the baby only
Focus: Baby; use baby’s permanent or temporary member ID
Procedure Code: 99502
Diagnosis Code:
Z00.111 if baby is under 28 days old
Z00.129 if baby is over 28 days old and normal findings
Z00.121 if baby is over 28 days old and abnormal findings
Note: Prior authorization is required for all other medically necessary home care services. To request services, please fax a completed Home Care Authorization form to 215-967-4491.
The Maternity Home Visiting program is a comprehensive program for recently delivered members and parents of children under 18 months. The focus of the visits is child development, parenting and referral to any needed community resources. Examples of these nationally known programs include:
- Nurse-Family Partnership - Helping First-Time Parents Succeed (nursefamilypartnership.org)
- Welcome to Parents as Teachers - Parents as Teachers
- Healthy Families America
- Head Start and Early Head Start | Childcare.gov
The Baby Partners care coordinators discuss these important programs with their members and help them enroll. Providers are encouraged to refer members directly to these programs.
