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Maternity Care Management Notification Form Fax to: Amerigroup .....866-495-5788 (This is not an authorization form for hospital admission.) Bluesier / TennCareSelect. . ...800-292-5311 Member Information

How to fill out maternity care management notification

How to fill out maternity care management notification:

1. Start by gathering all the necessary information. You will need personal details such as the patient's name, address, phone number, and insurance information.
2. Next, identify the healthcare provider who will be managing the maternity care. This could be an obstetrician, midwife, or any other healthcare professional involved in prenatal and postnatal care.
3. Determine the specific dates and details related to the maternity care. Include the expected due date, any prenatal appointments already scheduled, and any anticipated hospital stays.
4. Fill out the notification form accurately. Ensure that all the information provided is correct and up to date. Double-check for any spelling errors or missing information.
5. Submit the completed maternity care management notification to the appropriate recipient. This could be your insurance provider, a healthcare organization, or any other entity responsible for coordinating and managing maternity care.

Who needs maternity care management notification:

1. Pregnant individuals who want to ensure proper coordination of their maternity care.
2. Insurance providers who require notification for coverage purposes.
3. Healthcare organizations involved in coordinating and managing maternity care services.
4. Healthcare professionals providing prenatal and postnatal care.

For pdfFiller’s FAQs

What is maternity care management notification?

Maternity care management notification is a form that needs to be filed to notify the appropriate authorities about a pregnancy for the purpose of coordinating care and services for the mother and baby.

Who is required to file maternity care management notification?

Healthcare providers, hospitals, and insurance companies are typically required to file maternity care management notification.

How to fill out maternity care management notification?

Maternity care management notification can usually be filled out electronically or through a paper form provided by the relevant agency. It typically requires information about the mother's medical history, pregnancy details, and contact information.

What is the purpose of maternity care management notification?

The purpose of maternity care management notification is to ensure that pregnant individuals receive appropriate care and support during their pregnancy and postpartum period.

What information must be reported on maternity care management notification?

Information such as the mother's name, contact information, medical history, expected due date, prenatal care provider, and any risk factors or complications related to the pregnancy must be reported on maternity care management notification.

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