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7.1.9.1 Claims for Pregnant Women (TP40)
Claims for pregnant women who are on type program 40 should be directed to the health plan listed on the Medicaid Identification Form (Form H3087). In some instances, a primary care provider will not be assigned for the first month of eligibility. These claims should be filed with the following temporary primary care provider number as the referring provider: PCCTP4001. For clients who do not yet have a primary care provider assigned, call the client's health plan for more information. If a health plan name does not appear on a STAR client's Medicaid Identification Form (Form H3087), call the STAR Help Line at 1-800-964-2777.
For PCCM clients who do not yet have a primary care provider assigned, call the PCCM Client Helpline at 1-888-302-6688 to select a primary care provider.
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