Welcome » April 29, 2024 2:18 AM

Effective November 10, 2023, no new providers will be approved to provide child care coordination (CCC) services. For more details, please visit ForwardHealth Update 2023-38, "Enrollment Certification and Claims Changes for Child Care Coordination Services" and the new Resources for Child Care Coordination Services page.

Resources for Prenatal Care Coordination Providers

ForwardHealth Updates

The most recent ForwardHealth Updates are listed below; however, providers should refer to the Prenatal Care Coordination (PNCC) service area of the ForwardHealth Online Handbook for complete PNCC policy.

Update and Release Date	Affected Providers	Description of Policy Change
ForwardHealth Update 2023-38, “Enrollment Certification and Claims Changes for Child Care Coordination Services” (11/10/2023)	CCC Providers	This Update informed providers of changes to enrollment certification and claim submission processes for PNCC providers that provide CCC services.
ForwardHealth Update 2023-27, “Prenatal Care Coordination New Enrollment and Revalidation Requirements and ForwardHealth Online Handbook Revisions” (06/30/2023)	PNCC Providers	This Update informed providers of the new enrollment and revalidation requirements for the PNCC benefit, as well as corresponding policy changes in and revisions to the Prenatal Care Coordination service area of the ForwardHealth Online Handbook.
ForwardHealth Update 2023-10, “New Requirements for Child Care Coordination” (04/03/2023)	CCC Providers	This Update informed providers of new policy requirements for submitting claims for CCC services.
ForwardHealth Update 2023-05, “New Payment Integrity Review Program” (03/01/2023)	All Providers	This Update announced a new Payment Integrity Review (PIR) program.
ForwardHealth Update 2023-03, “ForwardHealth Reimbursement Rate Increases” (02/16/2023)	PNCC providers	This Update announced reimbursement rate increases for certain services.
ForwardHealth Update 2022-07, “New and Revised Modifier Requirements for Child Care Coordination and Prenatal Care Coordination Services” (03/01/2022)	CCC Providers, PNCC Providers	This Update informed providers of new requirements for submitting claims for PNCC and CCC services.

ForwardHealth Provider Trainings

Supplemental Materials

Providers are required to document specific information. The materials below meet these documentation requirements. The table below indicates which materials are recommended for use and which materials are required.

Title of Form and Number	Description of Form	Recommended or Required?
Prenatal Care Coordination Pregnancy Questionnaire, F-01105 (02/2009)	Form for determining enrollment for the PNCC benefit (used to identify risk factors that place a woman at high risk for a poor birth outcome, and includes an initial assessment of the strengths and needs of the pregnant woman)	Required
Prenatal Care Coordination Care Plan, F-03183 (06/2023)	Form for documenting the member’s plan of care (addressing needs, necessary services, necessary referrals, and frequency of monitoring)	Recommended
Prenatal Care Coordination Training Plan, F-03184 (06/2023)	Form for documenting the provider’s ability to carry out the full PNCC benefit and all PNCC activities in a family-centered and culturally appropriate way	Recommended
Prenatal Care Coordination Care Coordinator Visit Checklist, F-03185 (06/2023)	Form for preparing the care coordinator for each contact and visit with PNCC members	Recommended
Prenatal Care Coordination Monthly Time Log for Ongoing Care Coordination and Monitoring, F-03186 (12/2023)	Form for tracking time spent with PNCC members	Recommended
Prenatal Care Coordination Referral, F-03187 (12/2023)	Form for documenting and sharing referral information with PNCC members	Recommended
Prenatal Care Coordination Plan of Operation, F-03188 (06/2023)	Form for documenting the policies, objectives, and goals of the PNCC provider, along with job titles, duties, and descriptions within the organization	Recommended
Memorandum of Understanding Between Prenatal Care Coordination Provider and HMO	Form for providing framework for effective communication between a member’s PNCC provider and the member’s HMO (establishes a working relationship, outlines procedures for sharing information, and outlines respective roles and responsibilities)	Recommended

Professional Development Modules

The Division of Public Health has created a series of professional development modules to help educate care coordinators and providers on maternal health. These modules are not specific to PNCC providers but could be useful tools to strengthen knowledge about best practices for care coordination. The modules also address prenatal and perinatal health.

While these materials serve as helpful guidance, they are not intended to replace PNCC policy. All policy in the ForwardHealth Online Handbook must still be followed. The modules are available here.

Additional Resources

For information about providing Child Care Coordination services—Resources for Child Care Coordination Services
For member information—the Wisconsin Department of Health Services PNCC website or the PNCC Member Brochure, P-01046
For policy and billing questions—Provider Services at 800-947-9627
For ForwardHealth members who have questions—Member Services at 800-362-3002 (member use only)
ForwardHealth Provider Portal Professional Claims User Guide

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