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BABYCARE PROGRAM PRENATAL POSTPARTUM ENCOUNTER FORM - fideliscare

BABYCARE PROGRAM PRENATAL POSTPARTUM ENCOUNTER FORM - fideliscare 2025

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The document is a Prenatal/Postpartum Encounter Form for the BabyCare Program, which must be completed and submitted to Fidelis Care to qualify for financial incentives related to prenatal and postpartum visits. It outlines the necessary information required from healthcare providers, including member details, visit dates, and specific examinations performed. The form emphasizes the importance of timely submission within specified timeframes to ensure eligibility for incentives.

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Click ‘Get Form’ to open the BABYCARE PROGRAM PRENATAL POSTPARTUM ENCOUNTER FORM in the editor.
Begin by filling out the top section with your Group Name, Provider Name, Tax Identification Number, Member Name, Member ID Number, Member Phone Number, Member Date of Birth, Date of Delivery, and Estimated Due Date (EDC). Ensure all fields are completed accurately.
Proceed to Section I: Prenatal Visits. Here, you will need to document the dates of service for each prenatal visit. Check off the relevant services provided during these visits as indicated in the checklist.
Next, move to Section II: Postpartum Visit. Enter the Postpartum Visit Date and Weight. Indicate if there was a no-show and check all applicable boxes for postpartum examinations and issues identified.
Finally, ensure that both you and your provider sign and date the form before submission. Save your completed form within our platform for easy access.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (177 Votes)
2016	4 Satisfied (35 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does Fidelis insurance cover pumps?

As a Fidelis member, you are eligible to receive a high-quality, name brand pump at no cost to you. Plus, you wont be jumping through hoops with your insurer: As a contracted Fidelis pump provider, Acelleron will take care of all that for you.

How to know if a pump is covered by insurance?

NYS Medicaid includes manual and electric pumps. NYS Medicaid Members may qualify for a new pump for each pregnancy. Manual pumps can be used daily or occasionally, depending on the parents breastfeeding/chestfeeding schedule.

Does NY Medicaid cover pumps?

In most cases, Medicaid requires a prescription from a medical professional to cover the price of a pump. Pumps for Mom experts can get in touch with your doctor and help you get a prescription if needed.

Are pumps covered by Fidelis insurance?

Fidelis Care would like to inform providers that doula services will be included in the benefit package for Medicaid Managed Care, HIV Special Needs Plan, and Health and Recovery Plan members effective April 1, 2025.