SIGNED FINAL_PNCC MOU with Group Health Co-op of Eau Claire HMO 8-15-2022

Letter of Agreement between Group Health Cooperative of Eau Claire and Sauk County Health Department
Effective Date: August 1, 2022
MEMORANDUM OF UNDERSTANDING
BETWEEN
GROUP HEALTH COOPERATIVE OF EAU CLAIRE &
ITS ADMINISTERED PROGRAMS
(Hereinafter referred to as “HMO”)
AND
PRENATAL CARE COORDINATION AGENCY
West Square Building, 505 Broadway St #372
Baraboo, WI 53913-2401
(Hereinafter referred to as “PNCC”)
Effective Date: August 1, 2022
Scope and Purpose. Prenatal care coordination services for all recipients, including those enrolled in Managed Care Organizations such as Group Health Cooperative of Eau Claire, are paid as “fee-for-service” by the Wisconsin Medicaid Program administered by the Wisconsin Department of Health and Family Services. The Prenatal Care Coordination Agency (PNCC) is responsible for services which include outreach, risk assessment, care planning, care coordination and follow-up to support high-risk pregnant women. Group Health Cooperative of Eau Claire is responsible for coordinating and managing medically necessary services. Successful provision of the services to individual recipients requires cooperation, coordination and communication between the HMO and the PNCC.