Billing maternity care program to Medicaid
Maternity Care Program
The Maternity Care Program is a statewide program that
covers maternity services. The state is divided into 14 districts with a
Maternity Care Primary Contractor in each district. The primary contractor is
responsible for the coordination of care for recipients enrolled in the
program.
The eligibility response from AVRS or Provider Electronic
Solutions provides the following information if the recipient is eligible for
the Maternity Care Program:
• Primary contractor’s NPI
• Primary contractor’s telephone number
• Effective and End Dates of enrollment
Claims for services covered under this program should be
filed directly to the primary contractor. See Chapter, 24, Maternity Care, for
more information on the maternity care program.
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