Last update: October 16, 2020
Effective June 1, 2020, New Jersey began enforcing new data reporting requirements as a condition of Medicaid payment for prenatal care. Under the new law, prenatal care providers must submit first visit and third trimester assessments through Perinatal Risk Assessments Plus (PRA Plus), accessed through PRA|SPECT, for all UnitedHealthcare Community Plan Medicaid Managed Care members. Care providers must submit the Perinatal Risk Assessment form electronically to PRA|SPECT at praspect.org. The forms must be submitted within one week after the member’s first visit and third trimester appointments. Care providers who fail to submit data for these patients through the PRA|SPECT system cannot be reimbursed for prenatal services.
For more information about Perinatal Risk Assessment form requirements, visit UHCprovider.com/NJcommunityplan > Bulletins and Newsletters > Current Alerts & Bulletins > Bulletins and Newsletters > Perinatal Risk Assessment Form Requirements.