The Indiana Health Coverage Programs (IHCP) recognizes that timely identification of risk factors improves birth outcomes. A Notification of Pregnancy (NOP) transaction helps identify risk factors in the earliest stages of pregnancy for managed care members.
Recognized providers (providers that are enrolled in the IHCP and qualified to perform pregnancy tests) are eligible for a $60 reimbursement for NOP transactions that are successfully submitted using the IHCP Provider Healthcare Portal. Reimbursement is limited to one NOP per pregnancy.
NOP transactions are available only for members enrolled in Healthy Indiana Plan (HIP), Hoosier Healthwise, or Hoosier Care Connect. The submitted information is used by the member's managed care entity (MCE) to determine the risk level associated with the pregnancy and establish areas of follow-up care.
More information about the NOP is available at the following links: