NY Manual
SHP Manual

New York Provider Manual
16.4 Specialty Care and Specialists | 16.6 Family Planning Services

16.5 Obstetrical Care

Healthfirst reimburses for obstetrical care on a fee-for-service basis or based on specific contractual arrangements. In all cases, the provider must submit claims for each service rendered. Claims should be submitted for payment of prenatal and post-partum visits, as well as for delivery. Cases requiring more than seven (7) prenatal visits or more than one (1) post-partum visit may be subject to retrospective medical record review by the Healthfirst Medical Management department.