Showing posts with label Newborn Enrollment. Show all posts
Showing posts with label Newborn Enrollment. Show all posts

Sunday, 7 September 2014

How to do Newborn Baby Enrollment

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.

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