Pregnancy
PCP’s or obstetricians are required to notify SHP of the first prenatal visit
and/or positive pregnancy test within two (2) working days by completing the
Pregnancy Notification Form (refer to the Forms Section), whether the pregnancy
was identified through medical history, examination, testing or otherwise.
SHP will allow pregnant enrollees to choose in-network obstetricians as PCP’s
if the obstetrician is willing to participate as a PCP.
If a pregnant member has not selected a PCP for her unborn child, SHP will
assign a pediatrician for the care of their newborn babies no later than the
beginning of the last trimester of gestation. If a provider treating a pregnant
member for prenatal care decides to terminate the contract with the Plan, SHP
will allow the member to continue care with that provider until
completion of the postpartum care.
