Omitir navegación

Sub-navProviders

Falso
Plan Info
print

Baby Partners

Baby Partners provides support for your patients throughout pregnancy and postpartum. Our care coordination team is here to support your patient’s health care 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 before 84 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.

Home Visiting Program

Jefferson Health Plans encourages in-network providers to refer pregnant members and new parents to an evidence-based home visiting program.

All pregnant Jefferson Health Plans’ members, and parents/guardians of children younger than 18 months, are encouraged to participate in one of these programs. There is no cost to the member.

These programs begin during the pregnancy, or just after the birth, and continue for at least 18 months of the infant’s life. Agency staff visit the family and provide educational resources, resource referrals and ongoing support; visit frequency is dependent on the family’s preference.

The table below lists some of the nationally recognized home visiting programs that are available throughout Pennsylvania.

Agency Name Program County Served Phone number Website
Allegheny County Health Department Healthy Families Allegheny Allegheny 866-730-2368 Family Child Health (signupform.info)
Allegheny County Health Department Healthy Moms Healthy Babies Allegheny 866-730-2368 Family Child Health (signupform.info)
Allegheny County Health Department Nurse Family Partnership Allegheny 866-730-2368 Family Child Health (signupform.info)
Allegheny Lutheran Social Ministries (ALSM) Early Head Start Bedford 814-624-3217 https://www.alsm.org/
Allegheny Lutheran Social Ministries (ALSM) Early Head Start Fulton 814-624-3217 https://www.alsm.org/
Blueprints Early Head Start Early Head Start Greene 877-814-0788 https://myblueprints.org/
Blueprints Early Head Start Early Head Start Washington 877-814-0788 https://myblueprints.org/
Carson Valley Children's Aid  Parents as Teachers Montgomery  215-233-1960  https://www.cvca-pa.org/
Community Services of Venango County-Families First  Early Head Start and Parents as Teachers Crawford 814-775-0523 https://www.communityservicespa.org/parents-as-teachers
Community Services of Venango County-Families First  Early Head Start and Parents as Teachers Forest 814-775-0524 https://www.communityservicespa.org/parents-as-teachers
Community Services of Venango County-Families First  Early Head Start and Parents as Teachers Venango 814-775-0522 https://www.communityservicespa.org/parents-as-teachers
Community Services of Venango County-Families First  Early Head Start and Parents as Teachers Warren 814-775-0525 https://www.communityservicespa.org/parents-as-teachers
Erie Family Center Parents as Teachers Erie 814-323-1010/814-520-8214 www.eriefamilycenter.org
Family Service Association of Bucks County Parents as Teachers Bucks  215-757-6916 www.fsabc.org
Family Services of Montgomery County Parents as Teachers Montgomery  610-326-1610 ext. 341 https://www.fsmontco.org/
Greater Susquehanna Valley United Way-PAT Parents as Teachers Columbia 814-775-0522 parent resources — Susquehanna Valley United Way (squarespace.com)
Greater Susquehanna Valley United Way-PAT Parents as Teachers Montour 814-775-0522 parent resources — Susquehanna Valley United Way (squarespace.com)
Greater Susquehanna Valley United Way-PAT Parents as Teachers Northumberland 814-775-0522 parent resources — Susquehanna Valley United Way (squarespace.com)
Greater Susquehanna Valley United Way-PAT Parents as Teachers Snyder 814-775-0522 parent resources — Susquehanna Valley United Way (squarespace.com)
Greater Susquehanna Valley United Way-PAT Parents as Teachers Union 814-775-0522 parent resources — Susquehanna Valley United Way (squarespace.com)
HANDS of Wyoming Parents as Teachers Bradford 570-833-2350 Form (hands-wyco.org)
HANDS of Wyoming Parents as Teachers Columbia 570-833-2350 Form (hands-wyco.org)
HANDS of Wyoming Parents as Teachers Sullivan 570-833-2350 Form (hands-wyco.org)
HANDS of Wyoming Parents as Teachers Susquehanna 570-833-2350 Form (hands-wyco.org)
HANDS of Wyoming Parents as Teachers Wyoming 570-833-2350 Form (hands-wyco.org)
Maternal and Child Health Consortium of Chester County Parents as Teachers Chester  610-344-5370 MCHC | Start Healthy, Stay Healthy, Succeed in School (ccmchc.org)
Maternal and Child Health Consortium of Chester County Healthy Start  Chester  610-344-5370 MCHC | Start Healthy, Stay Healthy, Succeed in School (ccmchc.org)
Maternity Care Coalition Healthy Fanilies America Berks 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Early Head Start Berks 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Healthy Fanilies America Berks 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Early Head Start Chester  215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Healthy Fanilies America Delaware  215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Early Head Start Delaware  215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Healthy Fanilies America Lehigh 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Early Head Start Lehigh 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Healthy Fanilies America Lehigh 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Healthy Fanilies America Montgomery  215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Early Head Start Montgomery  215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Healthy Fanilies America Northampton 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Early Head Start Northampton 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Healthy Fanilies America Northampton 215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Healthy Fanilies America Philadelphia   215-989-3546 https://maternitycarecoalition.org/
Maternity Care Coalition Early Head Start Philadelphia   215-989-3546 https://maternitycarecoalition.org/
National Nurse-Led Care Consortium Nurse-Family Partnership Philadelphia   Central Call Line:
215-287-2114

609-865-6258 (K. Kinsey cell)
https://nurseledcare.phmc.org/programs/philly-nfp.html
National Nurse-Led Care Consortium-NFP Nurse-Family Partnership Philadelphia   215-287-2114 Philadelphia Nurse-Family Partnership (phmc.org)
The Guidance Center Parents as Teachers Cameron 814-362-6526 www.guidancecenter.net
The Guidance Center Parents as Teachers Clearfield 814-362-6526 www.guidancecenter.net
The Guidance Center Parents as Teachers Elk 814-362-6526 www.guidancecenter.net
The Guidance Center Parents as Teachers Indiana 814-362-6526 www.guidancecenter.net
The Guidance Center Parents as Teachers Jefferson 814-362-6526 www.guidancecenter.net
The Guidance Center Parents as Teachers McKean 814-362-6526 www.guidancecenter.net
The Guidance Center Parents as Teachers Potter 814-362-6526 www.guidancecenter.net
Tri County Community Action- PAT Parents as Teachers Cumberland 717-232-9757 https://cactricounty.org/our-programs/programs-services.html
Tri County Community Action- PAT Parents as Teachers Dauphin 717-232-9757 https://cactricounty.org/our-programs/programs-services.html
Tri County Community Action- PAT Parents as Teachers Perry 717-232-9757 https://cactricounty.org/our-programs/programs-services.html
Community Action Partnership of Lancaster County Parents as Teachers Lancaster 717-431-1027 www.caplanc.org
Healthy Start-Pittsburgh Healthy Start  Allegheny 412-247-4009 https://healthystartpittsburgh.org/about-us/
Healthy Start-Pittsburgh Healthy Start  Westmoreland 412-247-4009 https://healthystartpittsburgh.org/about-us/
Philly Loves Families Central Intake for Mutliple programs Philadelphia   215-685-4701 https://www.phillylovesfamilies.com/philly-families-can

These programs all are proven to improve outcomes for new families by educating parents about child development and improving their parenting skills.

How to Make a Referral to These Programs
All these programs accept referrals through their websites and by phone. Providers can make the referral on the member’s behalf; members may self-refer, as well. You can make the referral by sending an email with the member’s information and your contact information to HomeVisitingReferral@jeffersonhealthplans.com; our care coordinator will assist in connecting the family with a program.

Jefferson Health Plans’ Baby Partners coordinators educate their members about these programs and help members enroll, and outreaches to members and encourages them to sign up for a home visit program. For more information, contact the Baby Partners team at 1-866-500-4571.

ONAF Reimbursement Program

Please visit our Quality Resources webpage for the current ONAF reimbursement program.

Powered by Translations.com GlobalLink Web Software