55 Pa. Code § 1140.2 - Definitions

Current through Register Vol. 51, No. 52, December 25, 2021

The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

Care coordinator-An individual employed by the qualified provider to serve as the client's primary contact and facilitator of multidisciplinary communication.

HBP-Healthy Beginnings PLUS Program-An enhanced, comprehensive package of prenatal and postpartum services provided to eligible MA recipients by enrolled qualified providers.

HBP service-A comprehensive package of services for pregnant women consisting of the following:

(i) Basic services provided to clients enrolled in HBP, including care coordination, medical and obstetrical, nutritional, psychosocial and health promotion.
(ii) High risk maternity services provided to individual clients in response to an identified medical or obstetrical risk requiring services to be provided with greater frequency and of longer duration.
(iii) Special services provided to individual clients on as-needed basis, generally in response to an identified medical or obstetrical, nutrition or psychosocial risk.

Qualified provider-A provider or practitioner formally enrolled in the HBP and designated as eligible to provide HBP services.


55 Pa. Code § 1140.2

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