New early elective delivery requirements

Effective for dates of service beginning on July 1, 2021, for all births planned between 37 and 39 weeks of gestational age participating physicians, or their designee must: 

  • Complete a delivery scheduling form documenting the clinical reason for early delivery. If you do not have your own form, you can use the UnitedHealthcare Delivery Scheduling Form.
  • Retain a copy of the delivery scheduling form in the mother’s medical record
  • Provide a copy to UnitedHealthcare upon request, within 15 days of request

Failure to comply with these requirements may result in appropriate action under your participation agreement which may include, but is not limited to, ineligibility for performance-based compensation or termination of your participation agreement

The American College of Obstetricians and Gynecologists (ACOG) guidelines recommend non-medically indicated early term deliveries (prior to 39 weeks) be avoided.

PCA-1-21-00712-03232021