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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 7 Maternity Service Clinics (MSC) : 7.2 Services, Benefits, Limitations, and Prior Authorization : 7.2.2 Subsequent Prenatal Care Visits

7.2.2
The following is a recommended guide for the frequency of subsequent prenatal visits for a regular pregnancy:
More frequent visits may be medically necessary. Physicians, CNMs, and MSCs are limited to 20 prenatal care visits per pregnancy and 1 postpartum care visit per pregnancy after discharge from the hospital, without documentation of a complication of pregnancy.
Each subsequent visit must include the following:

Texas Medicaid & Healthcare Partnership
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