Low Risk Maternity Program Sample Clauses
The Low Risk Maternity Program clause establishes the terms and conditions under which maternity care is provided to individuals classified as low risk. Typically, this clause outlines eligibility criteria for participation in the program, such as the absence of certain medical complications or risk factors, and may specify the types of services covered, like prenatal visits, routine screenings, and delivery support. Its core practical function is to ensure that appropriate, cost-effective care is delivered to expectant mothers with uncomplicated pregnancies, thereby optimizing resource allocation and supporting positive health outcomes.
Low Risk Maternity Program. The CONTRACTOR shall provide a Level 1 Low Risk Maternity Program for eligible members identified as described in Sections 2.8.2.4 and 2.8.2.5 of this Agreement. The goal of the program is to engage pregnant women into timely prenatal care and to deliver a healthy, term infant without complications.
2.8.4.2.1 The CONTRACTOR shall operate its Level 1 Maternity Program using an “Opt Out” methodology. Maternity program services shall be provided to all eligible members unless they specifically ask to be excluded.
2.8.4.2.2 The CONTRACTOR shall provide defined ongoing member monitoring for the need to move these members into the ▇▇▇▇▇ ▇ ▇▇▇▇ ▇▇▇▇ Maternity Program.
2.8.4.2.3 The CONTRACTOR shall provide to members eligible for the LEVEL 1 MATERNITY PROGRAM the following minimum standard interventions:
1. Screening for risk factors to include screening for mental health and substance abuse. This screening shall follow the contact attempt protocol referenced in Section 2.8.4.5.2 of this Agreement.
2. Prenatal packets (considered the one non-interactive intervention to the member for the duration of the pregnancy) to include at a minimum: A. Encouragement to access Text4Baby B. Access number to maternity nurse/social worker if member would like to engage in monthly maternity management C. Preterm labor education D. Breast feeding E. Secondhand smoke F. Safe sleep G. Specific trimester health information H. Importance of postpartum visit I. Importance of screening for postpartum depression J. HUGS information K. Inter-conception health, to include dangers of becoming pregnant while using narcotics
3. Follow up as appropriate to determine the status of a prenatal visit to those members who received an initial assessment but had not scheduled or completed their first prenatal visit.
4. Follow-up to all eligible members, to assess the status of a post-partum visit appointment and assist them with making their appointment if needed.
Low Risk Maternity Program. The CONTRACTOR shall provide a Level 1 Low Risk Maternity Program for eligible members identified as described in Sections A.2.8.2.2