Baby Partners

Baby Partners

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.

Baby Partners Services

Ongoing telephonic care management by a nurse or social worker
Doula support in labor
Coordination of well mom and baby visits
24/7 breastfeeding helpline, staffed by certified lactation counselors on the Baby Partners team
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.

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 and baby; use mother’s member ID	99501	Z39.2, routine postpartum follow-up
Second visit before 84 days post-delivery	Mother and baby; 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 other medically necessary home care services. To request services, please fax a completed Home Care Authorization form to 215-967-4491.

Maternity Home Visiting Program

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:

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.

ONAF Reimbursement Program

Measurement Year 2024

We will continue to implement a reimbursement program for the submission of Obstetrical Needs Assessment Forms (ONAF). The incentive is available to all OB providers in the Health Partners Plans network and went into effect on January 1, 2023.

In this program, providers are eligible for a maximum of $200 total incentive for submission of one complete prenatal and one complete postpartum ONAF form. All ONAFs must be submitted and accepted electronically via Optum. Providers will receive payments quarterly.

Form	Reimbursement
Prenatal/Initial ONAF*	$125.00
Postpartum/Final ONAF	$75.00

* Must be submitted within 7 days of initial prenatal visit.

We rely on your prompt submission of the Obstetrical Needs Assessment Form (ONAF) to enroll Medicaid members into our Baby Partners program and collect important clinical and quality data. Please note that rejected ONAFs will not be paid unless corrected and re-submitted within the appropriate timeframe.

If you have additional questions, please reach out to your Provider Relations Representative or contact our Provider Services Helpline at 1-888-991-9023.