(103kb)
This chapter outlines Medicaid-covered services, conditions, and limitations for prenatal care coordination (PNCC) services. Prenatal care coordination services include all of the following:
- Outreach.
- Initial Assessment.
- Care plan development.
- Ongoing care coordination and monitoring.
- Health education and nutrition counseling services (for recipients with an identified need).
Note: Providers should be prepared to offer all five components of the PNCC benefit - not just the initial assessment - to eligible recipients.
Refer to the Medicaid Guidelines and Performance Measurements for Prenatal Care Coordination (Appendix 7 of this handbook) for detailed information about the benefit’s operational standards and performance measurements. Providers are encouraged to use the guidelines to help ensure that quality services are provided and activities are directed toward the program’s objectives and goal as stated in the General Information chapter of this handbook.
Wisconsin Medicaid also uses the guidelines to monitor the administration of the benefit.