Learn about the Ohio Perinatal Quality Collaborative (OPQC) Progesterone Project and how to notify us when one of our members in your panel is pregnant.
When filing electronic Medicaid claims, please use Payer ID 61103 for your patients with coverage through Humana Healthy Horizons in Ohio. Please do not use Humana’s traditional Payer ID for fee-for-service claims (61101) when submitting Humana Healthy Horizons in Ohio Medicaid claims.
The Ohio Perinatal Quality Collaborative (OPQC) Progesterone Project's goal is to decrease premature births in Ohio before 32 weeks by 10%, by:
Learn more about the
The Pregnancy Risk Assessment Communication (PRAF) is Ohio Medicaid’s preferred method for providers to notify the state and us of an individual’s pregnancy. You can submit this information via a paper or online form. The online form is called PRAF 2.0.
The PRAF 2.0:
The Centers for Disease Control and Prevention (CDC) launched recently an initiative called HEAR HER, which includes information, stories, and resources for providers with pregnant patients in their panel. Learn how preventing maternal deaths and complications starts with listening.
Please use our Notification of birth form to let us know when one of your patients with Humana Healthy Horizons® in Ohio coverage gives birth. Use this form to report a single birth as well as the delivery of twins or triplets. We will use this information to get a newborn Medicaid ID for each baby.
Our members can call the Ohio statewide breastfeeding hotline 24/7, 365 days a year. This service will have Certified Lactation Specialists, Certified Lactation Counselors, and International Board Certified Lactation Consultants available to members for free.