Thursday, June 20, 2024

Planning For Healthy Babies

Getting ready for The Healthy Babies program gives advantages to ladies; to family arranging and family arranging related administrations who don’t fit the bill for other Medicaid advantages; or who have lost Medicaid inclusion in any way, shape or form.

What Is Planning For Healthy Babies?

Yet, there is Inter-pregnancy care (IPC) segment under the P4HB program that you may fit the bill for on the off chance that you’ve conveyed a VLBW infant on or after January 1, 2011.

It Is For Who?

Women with a low income.


The waiver takes care of family arranging administrations to ladies:

  • From 18 to 44
  • Who are not pregnant and able to conceive
  • Women who weren’t sterilized
  • Women who have income at or below two hundred percent (200%) of the federal poverty level (FPL)

The P4HB program does not meet the prerequisites for inclusion under the Affordable Care Act.

On the off chance that you acquire private medical coverage, you will never again be able to get P4HB advantages and administrations.

VLBW Babies

Notwithstanding that, ladies who have conveyed a VLBW child birth-weight of 1500 grams, 3.3 lbs, thus, it is pretty interesting!

However, it could then again have less that are qualified for the Inter-pregnancy care program.

Aside from the family arranging administrations secured over, these ladies are additionally qualified for:

  • Primary Care ( Almost up until 5 visits per year)
  • Constrained Substance Abuse Services
  • Drugstore benefits (non-family arranging meds)
  • Non-crisis transportation
  • Asset Mother outreach (case the executives)
  • Restricted dental administrations

What Is Secured?

Ladies tried out the P4HB program will get the accompanying Family Planning related administrations:

  • Family arranging first or yearly tests (only one every year)
  • Prophylactic administrations and supplies
  • Understanding instruction and directing
  • Follow up family arranging visits
  • Guiding and referrals to:
  • Essential social insurance suppliers
  • Family arranging lab tests
  • Pregnancy tests
  • Pap smear
  • Testing for STD(s)
  • Treatment and follow up for STD(s), with the exception of HIV/AIDS and Hepatitis Antibiotic treatment for STD(s)

Other Tests Included Are:

  • Sterilization
  • Family Planning pharmacy visits
  • Prescriptions for vitamins/folic acid
  • Select inoculations for members 19 and 20. Members age 18 get antibodies at no expense.
  • Access to a Resource Mother (case the board administration) for ladies who have conveyed a VLBW on or after January 1, 2011. A portion of the administrations given by the Resource mother incorporate, yet isn’t restricted to home visits, coordination of administrations, and linkage to network assets.

Where Do I Refer Women For Primary Care Services Who Are Enrolled In The Family Planning Component Of The Waiver?

The Georgia Primary Care Association preserves a list of Providers who are actually available to provide primary care services to the Family Planning Only P4HB Participants.

A list is available to facilitate referrals for primary care for waiver participants.

Ladies joined up with the Inter-pregnancy Care segment of the P4HB Program will have an in-organize supplier though essential who, however; he couldn’t care fewer administrations?

What Is The Main Role Of The Primary Care Provider (PCP) To The Women That Are Enrolled In The IPC Component Of The Waiver!

Paid Or Provided Specialty Care

  • Maintaining continuity of each IPC P4HB Participant’s

Health Care And Maintaining The IPC P4HB Participant’s

Medical Record, which in fact, includes documentation of all the Services that are provided in fact by the PCP.

In addition, to any specialty services.

How Much Does Is It Cost?

 It costs $0 completely.

How Do Members Apply For The P4HB Program?

  • All applications can be completed on the new Georgia Gateway
  • Customer Portal at
  • Applicants can apply by printing the application form
  • and faxing or mailing in the information

Thus, they obtain applications at their local:

  • Public Healthy Babies Departments
  • Department of Family and Children Services (DFCS)
  • Federally Qualified Health Center
  • Completed applications and required documents should be faxed to 912-632-0389, Or Mailed to RSM Group,426 West 12th StreetAlma, GA 31510

How Do I Get More Information?

For More Information:

  • 877-P4H-B101 or 877-744-2101
  • Local Public Health departments
  • Department of Family and Children Services (DFCS)

How Do I Bill For P4HB Services?

  • Billing for these services is the same as the current billing
  • Process for Medicaid and Peach Care for Kids Members.

How Are Behavioral Health And Dental Services Billed?

  • Billing for these services is the same as the current billing
  • Process for Medicaid and Peach Care for Kids members.

Have you ever been through this? Share with us your experience.

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