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Baby Partners

Baby Partners provides support for your patients throughout pregnancy and postpartum. Our care coordination team is here to support your patient’s healthcare needs by helping them manage their care.

Baby Partners services

  • Ongoing telephonic care management by a nurse or social worker
  • Home visits by a doula or nurse for high-risk members during pregnancy and postpartum
  • Coordination of well mom and baby visits
  • 24/7 breastfeeding helpline
  • 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
  • Nutritionist home care visits during the prenatal period

The removal of prior authorization for the above home care visits is effective for dates of service on or after June 1, 2016. Please be aware that claims for services for these codes will be denied outside of the specified timeframes detailed in the chart below. Please consult the chart below for suggested ICD-10 codes for correct claims submissions of postpartum home care visits.

Visit

Focus of Visit

Procedure Code

Diagnosis Code

First visit between 1 to 21 days post-delivery, preferably within the first 7 days Mother; use mother’s member ID 99501

Z39.2, routine postpartum follow-up

Second visit between 21 and 56 days post-delivery Mother; use mother’s member ID 99501

Z39.2, routine postpartum follow-up

Visit for evaluation of baby only Baby; use baby’s permanent or temporary member ID 99502

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 medically necessary home care services. To request services, please fax a completed Home Care Authorization form to 215-967-4491.

*One well-baby visit is covered without prior authorization. If further visits are medically indicated, follow the usual procedure code for obtaining prior authorization.

Provider incentive program

Submit ONAFs online

Submit ONAFs (Obstetrical Needs Assessment Forms) online at obcare.optum.com. Reference this user guide for more information.

Remember, all three components of the ONAF are an incentive quality measure in the Maternity Quality Care Plus incentive program. Incentive payments are based on the percentage of your member panel for which a completed ONAF is submitted, which includes completion and submission of all three ONAF sections. For more information on submitting online ONAFs, refer to this user guide

Member incentive and more information 

Baby Partners has a rewards program that enables Health Partners Plans (HPP) members to receive up to $100 on a gift card that can be used on health and personal items at Rite Aid, Dollar General or Family Dollar. Members are eligible to receive $25 in rewards on their gift card for completion of each of the following visits:

  • Timely first prenatal visit (first trimester or within 42 days of becoming effective with HPP)
  • Dental visit
  • Postpartum visit (between 21-56 days post-delivery) 

Members that complete all three visits will receive a bonus reward of $25 on their gift card.