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| Perinatal Assessment Forms |
| The updated Obstetrical Needs Assessment Form (ONAF) is a standard perinatal assessment form that will be accepted for all Medicaid recipients, including those participating in HealthChoices plans, the ACCESS Plus program, and the Fee for Service delivery system. |
 Obstetrical Needs Assessment Form (ONAF) |
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Instructions for Completing the ONAF |
To participate in our OB Provider P4P incentive program, Health Partners requires that you use the ONAF to document appropriate obstetric care (prenatal, antenatal and postpartum). Please sign, date and fax it to us at 215-967-4492 within seven days of the initial prenatal visit, post delivery, and upon completion of the postpartum visit.
If you prefer, Health Partners will also accept submission of the ACOG assessment form. When using the ACOG, please note screening for Environmental Tobacco Exposure in the form’s Tobacco Screening section.
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| Provider Services Helpline: 215-991-4350 • 1-888-991-9023 |
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