Pregnancy Support
Notification of Pregnancy Provider Incentive
Nebraska Total Care has a Provider Incentive Program to support notification of pregnancy through the Notification of Pregnancy (NOP) and Obstetric Needs Assessment forms to the health plan. This communication allows Nebraska Total Care Case Management Team to engage members earlier in pregnancy in an effort to reduce the recurrence of preterm births.
In 2025, this incentive has been enhanced to include an additional incentive for submission of both a NOP or ONAF with Prenatal EMR documentation.
Timeframe | NOP Only | NOP + Prenatal EMR | ONAF Only | ONAF + Prenatal EMR | Prenatal EMR Only |
---|---|---|---|---|---|
1st Trimester (0-14 weeks) | $100 | $200 | $75 | $175 | $100 |
2nd Trimester (15-28 weeks) | $75 | $150 | $30 | $105 | $75 |
3rd Trimester (29+ weeks) | $50 | $100 | $15 | $65 | $50 |
Post Delivery | $0 | $0 | $0 | $0 | $50 |
The incentive is limited to Providers within the Nebraska Total Care Network and are based on timely submission of the NOP and ONAF forms and/or Prenatal EMR documentation submission.
- The Notification of Pregnancy NOP Form (PDF) is located on the Nebraska Total Care Provider Portal and Nebraska Total Care Provider Website.
- ONAF form (PDF) is located on the Nebraska DHHS MLTC website.
- Submitted forms must be accurate and complete, i.e., member name, date of birth, member ID, full name of provider, gestation, initial OB visit date and Provider’s Tax ID Number (TIN).
- Duplicate ONAF and NOP forms will not qualify for multiple incentives.
- Prenatal EMR documentation can be submitted directly via Nebraska Total Care Secure Fax: 844-843-3890.
Program Monitoring and Payments
- Nebraska Total Care will closely monitor program compliance.
- Incentives will be paid quarterly.
State Health Resource: Maternal Health For Providers