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TO:  All Maternity Care Providers (MCPs)

RE:  Reminder - Maternity Bonus Payment Opportunities

Effective October 1, 2024, Maternity Care Providers (MCPs) are reimbursed for the specified MCP bonus payments at the following rates:

*To qualify for both postpartum bonus payments, there must be at least 14 days between the first and second postpartum visits.

In addition, starting October 1, 2024, MCPs have an opportunity to earn an additional maternity postpartum bonus payment worth a total of $250 per recipient. MCPs who see recipients between 7-21 days post-delivery or end of pregnancy may qualify to receive a $125 postpartum bonus payment. MCPs who see recipients between 22-84 days post-delivery or end of pregnancy may qualify to receive an additional $125 postpartum bonus payment.

Physicians are reimbursed at 100% for the MCP bonus payments. Nurse practitioners, physician assistants and nurse midwives are reimbursed 80% of the physician rate for the MCP bonus payments.

The prenatal bonus payment may be eligible to providers who render services to pregnant recipients within 90 days of the last menstrual period. The postpartum bonus payments may be eligible to providers who render services to recipients between 7-21 days and/or 22-84 days after delivery or end of pregnancy. The MCP bonus payment procedure codes must be billed on a separate claim for reimbursement. Modifiers are necessary on the postpartum bonus payment claims. For billing instructions, please refer to Chapter 24 of the Medicaid Provider Billing Manual. You may also view the recorded webinars from September 2024 which provided an introduction and overview of the new Alabama Coordinated Health Network (ACHN) changes effective October 1, 2024. The maternity care updates can be accessed at the link below.

Email questions related to the MCP bonus payments outlined above to ACHN@medicaid.alabama.gov.

The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2025 American Medical Association and © 2025 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.