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Elevance MO- Maternity

Updated over 3 weeks ago

Type: Medicaid

Program Goal: The main goal is creating a meaningful reduction in food insecurity and delivering an incredible experience to receive a high NPS.

Target Population: This program will start with ~8,000 pregnant women 18 years or older, less than 24 weeks gestation and high risk for poor birth outcomes and will expand (1/1/26) to also include chronic condition management for patients with social determinants of health (SDOH).

States: Missouri

RD Requirements:

Health Plan Credentialing

State Medicaid Enrollment

Foodsmart Credentialing Requirements

No

Yes– Group ID is pending and will need to enroll individually.

Medallion Credentialing Application, Copies of CDR, license in home state and where pt resides, CV

Benefits Overview:

Video Required

# of Allowed Visits

per year

# of Allowed Units per Visit

Schedule Cadence

Billing Codes

No

5

4

Every 3-4 weeks and must be clinically necessary

Initial: 97802

Follow Up:

97803

Nutriquiz

SNAP Required

Risk Assessment Required

Find Help

Required at two visits. MUST screen for food insecurity.

Must indicate patient current SNAP

Status on FFD (enrolled/applying/ etc). If a patient is not enrolled, help the patient apply for SNAP.

No

At least one referral required on FindHelp

Food Benefits:

Foodsmart Bucks

Foodboxes/MTM

Food Selection Instructions

$142 per visit / 5 visits

*expire after 1 year

Incentives expire 1 year from the first visit, aligning with all other plans. The $142 incentive still applies to 5 completed visits over 6 months.

None

Patients will use Foodsmart Bucks through Instacart.

It is important that you close your charts within 12 hours of the visit start time. If charts are not closed the member will not receive their Foodsmart Bucks.

Extra Information:

Collect patient reported data and document values in FFD.

  • Height

  • Weight

  • Blood Pressure

  • HbA1C

  • LDL

  • HDL

If your patients haven’t been to their doctor in the last year encourage them to set up a visit to get yearly lab work done.

Helpful Programs:

Sample Visit Topics:

Visit Number

Sample Topics

Must Complete

1

Get to Know, NutriQuiz (baseline measurements + reminder to get lab work done), Food Insecurity Screening, Introduction to Prenatal Nutrition

NutriQuiz (initial biometrics) and Screen for Food Insecurity

2

SNAP or WIC application (if applicable), Connection to Community Resources

SNAP or WIC (if applicable) and 1 Find Help Referral

3

Nutrients Needed (depending on stage of pregnancy)

Updated biometrics

4

Grocery shopping on a budget Retake NQ + Food Insecurity Screening in FFD.

NutriQuiz and Screening for Food Insecurity) Updated biometrics

5

Budget Friendly Staples / Saving money on proteins + produce

Updated biometrics / NutriQuiz and Screening for Food Insecurity (update labs if pt has)

6

Please see the following link of Overview of Health Plans for info on all health plans.

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