Updates to the MPRA and ENS Forms

REQUIREMENTS: By May 31, 2022 (or immediately if after policy date): (1) Billing and clinical staff must obtain and implement the updated MPRA form (MDH 4850, 02/2022) and EMS form at all prenatal visits. (2) Providers must complete the MPRA at the initial prenatal visit, ensuring both Provider NPI and Site NPI are entered. (3) Billing team must update encounter forms and EMR templates to capture all new psychosocial risk factors (mental/behavioral health, substance use, financial insecurity, social support, nutrition, exercise/self-care) and medical risk factors (cervical incompetence, thrombophilias, updated STI screening, vaccination status). (4) Establish workflow to fax completed MPRA to local health department ACCU within 10 days of completion, based on patient's county of residence. (5) Update billing system to recognize and process HCPCS codes H1000 (MPRA completion and care plan development) and H1003 (EMS completion at prenatal and postpartum visits). (6) Providers and billing staff must reference MCO provider manuals, preauthorization procedures, and professional services fee schedules for correct billing instructions. (7) Training required for clinical staff on expanded risk factor screening and for billing staff on new code submission. Failure to complete and submit MPRA forms timely will prevent appropriate referrals to local health department ACCU services and may result in missed identification of high-risk pregnancies.