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 (see the Obstetrical and Gynecological Services provider reference module for a list of applicable specialties) are eligible for a $60 reimbursement for NOP transactions that are successfully submitted using the IHCP Provider Healthcare Portal. The member's pregnancy must be less than 30 weeks gestation at the time of the office visit on which the NOP is based, and the NOP must be submitted no more than five calendar days from the date of the office visit. Reimbursement is limited to one NOP per pregnancy.
NOP transactions are available only for members enrolled in Healthy Indiana Plan (HIP), Hoosier Care Connect or Hoosier Healthwise. 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, including billing guidance, is available at the following links: