Perinatal Services. 6.9.1 HMO's perinatal health care services must ensure appropriate care is provided to women and infants who are Members of HMO, from the preconception period through the infant's first year of life. HMO's perinatal health care system must comply with the requirements of Health & Safety Code, Chapter 32 Maternal and Infant Health Improvement Act and 25 TAC ss.37.233 et seq. 6.9.2 HMO shall have a perinatal health care system in place that, at a minimum, provides the following services: 6.9.2.1 pregnancy planning and perinatal health promotion and education for reproductive-age women; 6.9.2.2 perinatal risk assessment of nonpregnant women, pregnant and postpartum women, and infants up to one year of age; 6.9.2.3 access to appropriate levels of care based on risk assessment, including emergency care; 6.9.2.4 transfer and care of pregnant women, newborns, and infants to tertiary care facilities when necessary; 6.9.2.5 availability and accessibility of obstetricians/gynecologists, anesthesiologists, and neonatologists capable of dealing with complicated perinatal problems; 6.9.2.6 availability and accessibility of appropriate outpatient and inpatient facilities capable of dealing with complicated perinatal problems; and 6.9.2.7 compiles, analyzes and reports process and outcome data of Members to TDH. 6.9.3 HMO must have procedures in place to assign a pediatrician to an unborn child prior to birth of the child. 6.9.4 HMO must provide inpatient care for its pregnant/delivering Members and newborn Members in a health care facility, if requested by the mother or is determined to be medically necessary by the Member's PCP, for a minimum of:
Appears in 2 contracts
Sources: Contract for Services (Centene Corp), Contract for Services (Centene Corp)
Perinatal Services. 6.9.1 HMO's perinatal health care services must ensure appropriate care is provided to women and infants who are Members of HMO, from the preconception period through the infant's first year of life. HMO's perinatal health care system must comply with the requirements of Health & Safety Code, Chapter 32 Maternal and Infant Health Improvement Act and 25 TAC ss.37.233 Section 37.233 et seq.. 1999 Renewal Contract Harr▇▇ ▇▇▇vice Area 52 August 9, 1999
6.9.2 HMO shall have a perinatal health care system in place that, at a minimum, provides the following services:
6.9.2.1 pregnancy planning and perinatal health promotion and education for reproductive-reproductive- age women;
6.9.2.2 perinatal risk assessment of nonpregnant women, pregnant and postpartum women, and infants up to one year of age;
6.9.2.3 access to appropriate levels of care based on risk assessment, including emergency care;
6.9.2.4 transfer and care of pregnant women, newborns, and infants to tertiary care facilities when necessary;
6.9.2.5 availability and accessibility of obstetricians/gynecologists, anesthesiologists, and neonatologists capable of dealing with complicated perinatal problems;
6.9.2.6 availability and accessibility of appropriate outpatient and inpatient facilities capable of dealing with complicated perinatal problems; and
6.9.2.7 compiles, analyzes and reports process and outcome data of Members to TDH.
6.9.3 HMO must have procedures in place to assign a pediatrician to an unborn child prior to birth of the child.
6.9.4 HMO must provide inpatient care for its pregnant/delivering Members and newborn Members in a health care facility, if requested by the mother or is determined to be medically necessary by the Member's PCP, for a minimum of:
Appears in 1 contract
Perinatal Services. 6.9.1 HMO's perinatal health care services must ensure appropriate care is provided to women and infants who are Members of HMO, from the preconception period through the infant's first year of life. The HMO's perinatal health care system must comply with the requirements of Health & Safety Code, Chapter 32 Maternal and Infant Health Improvement Act and 25 TAC ss.37.233 et Section 37.233 et. seq.
6.9.2 HMO shall have a perinatal health care system in place that, at a minimum, provides the following services:
6.9.2.1 pregnancy planning and perinatal health promotion and education for reproductive-reproductive age women;
6.9.2.2 perinatal risk assessment of nonpregnant women, pregnant and postpartum women, and infants up to one year of age;
6.9.2.3 access to appropriate levels of care based on risk assessment, including emergency care;
6.9.2.4 transfer and care of pregnant women, newborns, and infants women to tertiary care facilities when necessary;
6.9.2.5 availability and accessibility of obstetriciansobstetrician/gynecologists, ; anesthesiologists, and neonatologists capable of dealing with complicated perinatal problems;
6.9.2.6 availability and accessibility of appropriate outpatient and inpatient facilities capable of dealing with complicated perinatal problems; andand TDHS/HMO CONTRACT August 11, 1999
6.9.2.7 compiles, analyzes and reports process and outcome data of Members to TDHthe State.
6.9.3 HMO must have procedures in place to assign a pediatrician to an unborn child prior to birth of the child.
6.9.4 HMO must provide inpatient care for its pregnant/delivering Members and newborn Members in a health care facility, if requested by the mother or is determined to be medically necessary by the Member's PCP, for a minimum of:
Appears in 1 contract
Sources: Star+plus Contract (Amerigroup Corp)
Perinatal Services. 6.9.1 HMO's perinatal health care services must ensure appropriate care is provided to women and infants who are Members of HMOinfants, from the preconception period through the infant's first year of life. HMO's perinatal health care system must comply with the requirements of El Paso Service Area HMO Contract Health & Safety Code, Chapter 32 Maternal and Infant Health Improvement Act and 25 TAC ss.37.233 et seq.
6.9.2 HMO shall have a perinatal health care system in place that, at a minimum, provides the following services:
6.9.2.1 pregnancy planning and perinatal health promotion and education for reproductive-reproductive age women;
6.9.2.2 perinatal risk assessment of nonpregnant women, pregnant and postpartum women, and infants up to one year of age;
6.9.2.3 access to appropriate levels of care based on risk assessment, including emergency care;
6.9.2.4 transfer and care of pregnant women, newborns, and infants to tertiary care facilities when necessary;
6.9.2.5 availability and accessibility of obstetricians/gynecologists, anesthesiologists, and neonatologists capable of dealing with complicated perinatal problems;
6.9.2.6 availability and accessibility of appropriate outpatient and inpatient facilities capable of dealing with complicated perinatal problems; and
6.9.2.7 compiles, analyzes and reports process and outcome data of Members to TDH.
6.9.3 HMO must have procedures in place to assign a pediatrician PCP to an unborn child prior to birth of the child.
6.9.4 HMO must provide inpatient care for its pregnant/delivering Members a Member and a newborn Members child in a health care facility, if requested by the mother or is determined to be medically necessary by the Member's PCP, for a minimum of:
Appears in 1 contract
Sources: Contract for Services (Centene Corp)
Perinatal Services. 6.9.1 HMO's perinatal health care services must ensure appropriate care is provided to women and infants who are Members of HMO, from the preconception period through the infant's first year of life. HMO's perinatal health care system must comply with the requirements of Health & Safety Code, Chapter 32 Maternal and Infant Health Improvement Act and 25 TAC ss.37.233 Section 37.233 et seq.
6.9.2 HMO shall have a perinatal health care system in place that, at a minimum, provides the following services:
6.9.2.1 pregnancy planning and perinatal health promotion and education for reproductive-reproductive- age women;; 1999 Renewal Contract Tarrant Service Area 52 August 9, 1999 53
6.9.2.2 perinatal risk assessment of nonpregnant women, pregnant and postpartum women, and infants up to one year of age;
6.9.2.3 access to appropriate levels of care based on risk assessment, including emergency care;
6.9.2.4 transfer and care of pregnant women, newborns, and infants to tertiary care facilities when necessary;
6.9.2.5 availability and accessibility of obstetricians/gynecologists, anesthesiologists, and neonatologists capable of dealing with complicated perinatal problems;
6.9.2.6 availability and accessibility of appropriate outpatient and inpatient facilities capable of dealing with complicated perinatal problems; and
6.9.2.7 compiles, analyzes and reports process and outcome data of Members to TDH.
6.9.3 HMO must have procedures in place to assign a pediatrician to an unborn child prior to birth of the child.
6.9.4 HMO must provide inpatient care for its pregnant/delivering Members and newborn Members in a health care facility, if requested by the mother or is determined to be medically necessary by the Member's PCP, for a minimum of:
Appears in 1 contract