Postpartum Care Clause Samples

Postpartum Care. Maternity Care includes postpartum visits. Postpartum care in the home is covered in accordance with accepted maternal and neonatal Physician assessments, by a person with appropriate licensure, training and experience to provide postpartum care. Services provided by such person shall include, but not be limited to, parent education, assistance and training in breast and bottle feeding, and the performance of any necessary and appropriate clinical tests. Coverage for postpartum care in the home includes a minimum of three home visits, unless one or two home visits are determined to be sufficient by the attending Physician or person with appropriate licensure, training and experience to provide postpartum care, and the mother. The home visits shall be conducted within the time period ordered by the attending Physician or person with appropriate licensure, training and experience to provide postpartum care. The following benefits and services are covered at no cost to the Member when received from a Participating Provider:  Member must have a prescription for a manual breast pump, supplies, and counseling to prove that the Member gave birth.  Member will be provided with one (1) manual breast pump. One (1) replacement manual breast pump is allowed for each following birth. A replacement set of associated supplies is allowed per Member per year. Supplies include such items as breast pump, tubing and pads.  If it is deemed Medically Necessary for the Member to use an electric breast pump, the Member’s Durable Medical Equipment benefit would apply and may include a cost share.  Breastfeeding counseling services are limited to a duration of one year. The alpha-fetoprotein IV screening test for pregnant women. The test screens for certain genetic abnormalities in the fetus. This test generally occurs between the sixteenth (16th) and twentieth (20th) week of pregnancy.

Postpartum Care. After the birth of the baby, the CNM shall assess, monitor, and support the mother during the immediate postpartum period until the mother is in stable condition and during the on-going postpartum period. The responsibilities of the CNM shall include, but are not limited to: 1. Immediate Postpartum Care a. Overall maternal well-being; b. Bleeding; including emergency management of postpartum hemorrhage as needed; c. ▇▇▇▇▇ ▇▇▇▇▇; d. Abdomen, including fundal height and firmness; 2. On-going Postpartum Care a. Overall maternal well-being; b. Bleeding; c. Abdomen, including fundal height and firmness; d. Bowel/bladder function;

Postpartum Care. The PSN shall: i. Provide a postpartum examination for the Enrollee within six (6) weeks after delivery; ii. Ensure that its Providers supply voluntary family planning, including a discussion of all methods of contraception, as appropriate; iii. Ensure that eligible Newborns are enrolled with the PSN and that continuing care of the Newborn be provided through the CHCUP program component.

Postpartum Care. The percentage of deliveries that had a postpartum visit on or between 21 and 56 days after delivery. Low Birth Weight Admission Rate Low birth weight (< 2,500 grams) infants per 1,000 newborns. AHRQ/ Prevention Quality Indicators (Adults) X Diabetes Care - HbA1c Testing The percentage of members 18–75 years of age with diabetes (type 1 and type 2) who received testing. NCQA/HEDIS X Diabetes Care- HbA1c Control (<8.0%) The percentage of members 18–75 years of age with diabetes (type 1 and type 2) who met standard. NCQA/HEDIS X Diabetes Care - LDL Screening The percentage of members 18–75 years of age with diabetes (type 1 and type 2) who received screening. NCQA/HEDIS X Adult Asthma Admission Rate Low birth weight (< 2,500 grams) infants per 1,000 newborns. AHRQ/ Prevention Quality Indicators (Adults) X Rand Health Medical Outcomes Study: 12-Item Short Form Survey Instrument SF-12 is a set of generic, coherent, and easily administered quality-of- life measures. These measures rely upon patient self-reporting and are now widely utilized by managed care organizations and by Medicare for routine monitoring and assessment of care outcomes in adult patients. X Nursing facility/HCBS measure TBD (based on ongoing stakeholder process and subject to CMS approval) State-defined measure X LTSS TBD LTSS measure (based on ongoing stakeholder process andsubject to CMS approval) State-defined measure X LTSS TBD LTSS measure (based on ongoing stakeholder process and subject to CMS approval) State-defined measure X CMS will work closely with the State to monitor other measures related to community integration. CMS and the State will continue to work jointly to refine and update these quality measures in years two and three of the Demonstration.

Postpartum Care. Postpartum care may vary somewhat with the situation (length and difficulty of the birth, your knowledge and security after birth etc.) Normally, I will be in touch with you by phone during the first 24 hours and then do a home visit between 24-48 hours and a second home visit around day 4-5. We ask that you bring the baby in to the office between 2-3 weeks and again at 6 weeks post partum for a final visit. I will also do a Pap Smear for you at that time if you need/want one. Colorado state requires us to advise you to take your baby in to see your family doctor within a week or two after the birth. These are decisions you will need to make and I will be happy to discuss this with you and give you referrals.

Postpartum Care. The percentage of deliveries that had a postpartum visit on or between 21 and 56 days after delivery. o x 77 54 84 60 89 66 92 71