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Completing the Report of Pregnancy (ROP) form is essential for ensuring Medicaid services for eligible pregnant individuals. This section will provide an introduction to filling out the ROP form. Follow the detailed instructions below to successfully complete the form.

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How to fill out the Report of Pregnancy Form (ROP) Instructions?

  1. 1

    Open the NurtureOhio website.

  2. 2

    Register or log in to the Medicaid Information Technology System (MITS).

  3. 3

    Access the ROP form on the website.

  4. 4

    Complete the required fields on the form.

  5. 5

    Submit the form electronically.

Who needs the Report of Pregnancy Form (ROP) Instructions?

  1. 1

    Pregnant individuals needing Medicaid services.

  2. 2

    Healthcare providers submitting notifications for pregnant patients.

  3. 3

    Medicaid managed care plans tracking pregnancy notifications.

  4. 4

    Providers seeking reimbursement for the ROP form submission.

  5. 5

    Agencies connecting pregnant women with additional health resources.

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What are the instructions for submitting this form?

To submit the ROP form, follow these instructions: Open the NurtureOhio website and log in to your MITS account. Access the ROP form, complete all required fields, and submit it electronically. For assistance, contact the Managed Care Plans: Buckeye (Timicia Swallen, 1-866-246-4356 Ext. 24532, TSwallen@Centene.com), CareSource (Diana Holtrup, 937-224-3300, Diana.Holtrup@CareSource.com), Molina (Shelby Burch, 1-614-516-4402, Shelby.Burch@MolinaHealthcare.com), Paramount (Kristine Noffsinger, 419-887-2539, Kristine.Noffsinger@promedica.org), United Healthcare (Kathryn Hobson, 614-356-2961, Kathryn.hobson@uhc.com). For technical difficulties, email Progesterone PIP at medicaid.ohio.gov. My advice is to ensure all details are accurate and submitted promptly to avoid delays.

What are the important dates for this form in 2024 and 2025?

Ensure timely submission of the Report of Pregnancy (ROP) form in 2024 and 2025 to avoid delays in Medicaid services. Key dates will be provided closer to each year.

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What is the purpose of this form?

The Report of Pregnancy (ROP) form is designed to facilitate Medicaid eligibility for pregnant individuals. By submitting the ROP form, healthcare providers ensure that pregnant women receive timely health services and access to needed resources throughout their pregnancy and postpartum period. The form also assists in pregnancy notification to managed care plans, maintaining continuity of Medicaid coverage, and enabling providers to get reimbursed for services.

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Tell me about this form and its components and fields line-by-line.

The ROP form contains fields for necessary information to establish Medicaid eligibility. Each field should be filled out accurately to ensure proper processing.
fields
  • 1. Patient Information: Includes fields for the patient's name, contact information, and Medicaid ID.
  • 2. Pregnancy Details: Includes fields for the diagnosis date, estimated delivery date, and healthcare provider information.
  • 3. Provider Information: Includes fields for the provider's name, contact information, and NPI (National Provider Identifier).
  • 4. Submission Details: Includes fields for electronic submission date and authorization.

What happens if I fail to submit this form?

Failure to submit the ROP form can delay Medicaid services for pregnant individuals. It can also lead to disruptions in health coverage and loss of provider reimbursement.

  • Delayed Medicaid Services: Pregnant individuals might face delays in accessing Medicaid services.
  • Disruption in Coverage: Failure to submit can result in gaps in Medicaid coverage.
  • Provider Reimbursement Issues: Healthcare providers may face challenges in getting reimbursed for services.

How do I know when to use this form?

Use the ROP form to ensure Medicaid services are provided promptly to pregnant individuals. This form is essential for managing pregnancy-related notifications and benefits.
fields
  • 1. Initial Pregnancy Diagnosis: Submit the form when a pregnancy is first diagnosed.
  • 2. Notification to Managed Care Plans: Use the form to notify managed care plans of a new pregnancy.
  • 3. Medicaid Eligibility Maintenance: Fill out the form to maintain continuous Medicaid coverage.
  • 4. Provider Reimbursement: Submit the form for reimbursement of pregnancy diagnosis services.
  • 5. Resource Connection: Use the form to connect pregnant women with additional health resources.

Frequently Asked Question

How do I access the ROP form?

You can access the ROP form on the NurtureOhio website.

Do I need a MITS account to submit the ROP form?

Yes, a Medicaid Information Technology System (MITS) account is required.

Can I edit the ROP form on PrintFriendly?

Yes, you can use PrintFriendly's PDF editor to edit the form.

How do I sign the ROP form on PrintFriendly?

You can add your digital signature using PrintFriendly's signing feature.

Is there a fee for submitting the ROP form?

Yes, there is a fee of $30 for electronic submission.

Who do I contact for help with NurtureOhio?

Email Progesterone PIP at medicaid.ohio.gov for assistance.

How do I submit the completed ROP form?

Submit the form electronically on the NurtureOhio website.

What if I have username or password issues with MITS?

Visit the ohmits.com website for help with MITS account issues.

Who do I contact for questions on specific managed care plans?

Refer to the contact details provided for each managed care plan.

Can I share the completed ROP form digitally?

Yes, use PrintFriendly's sharing options to send via email or direct link.

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Report of Pregnancy Form (ROP) Instructions

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