Pregnancy Support

Nebraska Total Care has a  Provider Incentive Program to support notification of pregnancy through the Notice of Pregnancy (NOP) and Obstetric Needs Assessment forms to the health plan. This communication allows Nebraska Total Care Case Management Team to engage earlier in a members pregnancy in an effort to reduce the recurrence of preterm births.  Please review the incentive guidelines outlined below: 

Incentive Program A: Notification of Pregnancy (NOP) Submission

• Incentive limited to Providers within the Nebraska Total Care Network.
• Incentives are based on timely submission of the Nebraska Total Care Notification of Pregnancy Form (NOP) as outlined below:
  • 1ST Trimester (0-14 weeks gestation): $100 incentive
  • 2ND Trimester (15-28 weeks gestation): $40 incentive
  • 3RD Trimester (29+ weeks gestation): $20 incentive
  • The NOP forms (PDF) are located on the Nebraska Total Care Provider Portal and Nebraska Total Care Provider 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.

Incentive Program B: Heritage Health Obstetric Needs Assessment Form (ONAF)

• Incentive limited to Providers within the Nebraska Total Care Network.
• Incentives are based on timely submission of the Heritage Health Obstetric Needs Assessment Form (ONAF) as outlined below:  
• 1ST Trimester (0-14 weeks gestation):  $50 incentive
• 2ND Trimester (15-28 weeks gestation): $30 incentive
• 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.

Program Monitoring and Payments

• Nebraska Total Care will closely monitor program compliance.
• Incentives will be paid quarterly.