The perinatal episode revolves around women with low to medium risk pregnancies on TennCare (Medicaid). The trigger event is the birth of a live infant. All pregnancy-related care including prenatal visits, lab tests, ED visits, medications, ultrasound imaging, delivery of the baby (professional and facility components) and post-partum care are included in the perinatal episode. A complete perinatal episode begins 40 weeks (280) days prior to the delivery and ends 60 days after the mother is discharged from the hospital following the birth of her infant.

Additional Resources

TennCare Perinatal Episode Executive Summary (TennCare)

Voluntary Reversible Long-Acting Contraception (VLARC) (Tennessee Center for Patient Safety)

Maternity Bundled Payment: A Literature Review (Bree Collaborative)

Establishing Maternity Episode Payment Models: Experiences from Ohio and Tennessee (LAN)

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