Billing maternity care program to Medicaid

Maternity Care Program

The Maternity Care Program is a statewide program that covers maternity services. The state is divided into 14 districts with a Maternity Care Primary Contractor in each district. The primary contractor is responsible for the coordination of care for recipients enrolled in the program.

The eligibility response from AVRS or Provider Electronic Solutions provides the following information if the recipient is eligible for the Maternity Care Program:

• Primary contractor’s NPI
• Primary contractor’s telephone number
• Effective and End Dates of enrollment

Claims for services covered under this program should be filed directly to the primary contractor. See Chapter, 24, Maternity Care, for more information on the maternity care program.