Pregnancy Medical Home (PMH) improves the quality of perinatal care given to Medicaid customers. This is done by modeling the PMH after the enhanced primary care case management (PCCM) program developed by Community Care of North Carolina (CCNC).

To qualify for PMH, the provider must agree to:

  • Ensure that no elective deliveries are performed before 39 weeks of gestation by agreement with all professional providers
  • Decrease the cesarean section rate among nulliparous women
  • Complete a high-risk screening on each pregnant Medicaid beneficiary in the program and integrating the plan of care with local care/case management
  • Open chart audits

In exchange for meeting the program expectations described above, the PMH will receive:

  • Exemption from prior approval on ultrasounds
  • $50 for completing a high-risk screening tool at initial visit
  • $150 incentive for the postpartum visit per Medicaid beneficiary
  • Increased rate for a vaginal delivery

Additional Resources

North Carolina Established Pregnancy Medical Homes Initiative (astho)

Predicting Preterm Birth Among Women Screened by North Carolina’s Pregnancy Medical Home Program (Tucker, et al.)

New Maternal Mortality Strategy Relies on ‘Medical Homes’ (Pew Trusts)

The Maternity Medical Home: The Chassis for a More Holistic Model of Pregnancy Care? (IHI)

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