Current through Register Vol. 56, No. 18, September 16, 2024
(a) Maternity medical care services shall include antepartum, intrapartum, and postpartum care provided by the obstetrical care practitioner(s) in accordance with New Jersey State Department of Health's HealthStart Comprehensive Maternity Care Services Program Guidelines.
(b) Prenatal services shall be as follows:
1. Frequency of prenatal visits for an uncomplicated pregnancy shall be every four weeks during the first 28 weeks; then every two weeks until 36 weeks; and weekly thereafter. Prenatal visits for complications shall be scheduled as needed.
2. Initial prenatal visit content shall include, but not be limited to:
i. History;
ii. Review of systems;
iii. Comprehensive physical examination;
iv. Risk assessment;
v. Patient counseling;
vi. Routine laboratory tests;
vii. Development of the plan of care; and
viii. Special tests and/or procedures as medically indicated.
3. Subsequent prenatal visit content shall include, but not be limited to:
i. Review and revision of the patient plan of care;
ii. Interim history;
iii. Physical examination;
iv. Patient counseling and treatment;
v. Laboratory tests;
vi. Special tests and/or procedures which are medically indicated;
vii. Identification of new or developing problems; and
viii. Management, including transfers, of any new or persistent problems.
4. Transfer of prenatal records to the hospital of delivery shall occur no later than 34 weeks gestation.
(c) Obstetrical delivery services shall include, but not be limited to:
1. Determination of, and arrangements for, delivery site;
2. Attendance at or provision for obstetrical delivery by a qualified physician or certified nurse midwife; and
3. Medical care during the entire period of confinement.
(d) A postpartum visit shall be provided by the 60th day after delivery, and shall include, but shall not be limited to, the following:
1. History;
2. Review of the prenatal, labor and delivery record;
3. Physical examination;
4. Patient counseling and treatment;
5. Parent/infant assessment;
6. Referral/consultation, as indicated; and
7. Procedures/tests, as indicated.
(e) All HealthStart maternity care providers shall have policies and protocols which shall be consistent with national standards regarding consultation and transfer of medically high-risk patients to tertiary-level maternity care facilities or specialists and to genetic counseling and testing facilities.
