Peach State Provider Office Manual - Peach State Health Plan ...

intensive outpatient rehabilitation)Case management/ Resource Mother OutreachLimited DentalPrescription Drugs (non-family planning)Non Emergency transportationfor an initial mental health or substance abuse visitbut prior authorization may be required forsubsequent visits. Participants may also receivedetoxification and intensive outpatient rehabilitationservices only.See belowA list of covered procedures are listed on the CMOplan web portal.Medications to treat chronic conditionsRESOURCE MOTHER OUTREACH (P4HB PROGRAM)Women served under the IPC component of the P4HB Program and women enrolled in otherMedicaid programs who have delivered a VLBW baby on or after January 1, 2011 will haveaccess to a Resource Mother. The CMOs will employ or contract with Resource Mothers who willassist nurse case managers with the following:Increase P4HB Participants’ adoption of health behaviors such as healthy eatingchoices and smoking cessation;a) Support P4HB Participants’ compliance with primary care medical appointments,including assisting with arranging non-emergency medical transportation;b) Assist mothers of VLBW babies to obtain regular preventive health visits andappropriate immunizations for their child;c) Support P4HB Participants’ compliance with medications to treat chronic healthconditionsd) Assist with coordination of social services support; and,e) Assist with linking mothers to community resources such as the Special SupplementalNutrition Program for Women, Infants, and Children.Providers are encouraged to refer women to the P4HB Program who have delivered aVLBW infant to determine if they would be eligible to participate in the InterpregnancyCare or Resource Mother Outreach program components. Providers will be required tocomplete the necessary forms confirming that the woman delivered a VLBW baby.APPLYING FOR THE P4HB PROGRAMMembers can apply for the P4HB program either online using the website listed or by obtainingand submitting an application and required documents to the address and fax number below:Online apply at www.Planning4healthybabies.org orObtain an application at the local:• Public Health Departments• Department of Family and Children Services (DFCS)• Or request to have one mailed directly to you by calling 877-P4H-B101 or877-744-2101Completed applications and required documents should be faxed to:• Fax: 888 744-2101Or Mailed to: Planning for Healthy Babies ▪ Post Office Box 1810 ▪ Atlanta, GA30301-1810Provider Services1-866-874-063302/22/201113