Newborn Enrollment
Upon a SHP’s member delivery of a baby, the newborn is not automatically
enrolled with the Plan. SHP will create a temporary newborn record within the
system and work with the Department of Children and Families (DCF) to have an
activation form completed. Once this is done, the newborn will become
eligible/active with SHP.
* PCP’s are required to notify SHP within two (2) working days of the first
prenatal visit and/or positive pregnancy test by completing the Pregnancy
Notification Form (Refer to the Forms section at the end of the Handbook). Once
this form is received, SHP will notify the designated DCF Customer Support of a
member’s pregnancy.
* Hospitals are required to notify SHP when a pregnant member presents to
the hospital for delivery. This notification is to be done as per the approved
Plan process. Once notified, SHP will research if the newborn has an existing
record on FMMIS that is waiting activation. Upon notification of a delivery,
SHP will notify the Florida State Medicaid of the delivery.