Fillable Online Obstetrical Needs Assessment Form (ONAF) 2026

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The document provides instructions for completing the Obstetrical Needs Assessment Form (ONAF) for Medicaid recipients involved in a HealthChoices Managed Care Organization or Fee for Service system. It outlines the purpose of the form, which is to notify the MCO of a member's pregnancy and facilitate early enrollment in maternity programs. The document details specific sections to be filled out during various prenatal visits, including demographic information, past obstetric complications, current risks, and active medical/mental health conditions. It emphasizes the importance of thorough and accurate completion of the form to ensure proper care and management throughout the pregnancy.
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  1. Click ‘Get Form’ to open the Fillable Online Obstetrical Needs Assessment Form (ONAF) in the editor.
  2. Begin by filling out the OB/GYN Office Information section. Enter your practice name, phone number, fax number, and provider MAID# accurately.
  3. Next, complete the Member’s Information section. Ensure you provide the member's full name, date of birth, age, and MCO Member ID#. Don't forget to indicate if they are a Healthy Beginnings Plus Member.
  4. Proceed to document any past OB complications and current risks in the designated sections. If there are none, check the appropriate boxes.
  5. Fill in details regarding active medical/mental health conditions and social/economic/lifestyle factors that may affect pregnancy outcomes.
  6. Finally, review all entries for accuracy before submitting. Use our platform's features to save or print your completed form as needed.

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HEALTHCHOICES AGREEMENT Table of Contents

Jan 1, 2024 1 --------------- HealthChoices RFA. 2 --------------- Proposal. 3b -------------- Explanation of Capitation Payments.

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