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BabyReady Program

The BabyReady Program is intended to improve maternal health outcomes through enhanced care coordination, services being provided in accordance with standards of care, and reducing barriers to care. Participating providers are eligible for enhanced reimbursement for care coordination and meeting prenatal care and postpartum care program objectives.

Program Objectives

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Increase utilization of prenatal and postpartum care. Provide and connect pregnant and postpartum women with supports. Improve health outcomes for pregnant women and their babies.

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Each enrolling clinic/practice location must complete an application and barriers to care initiative form. An addendum must be completed and signed by each individual provider listed on the application. An application is considered incomplete and will not be accepted if it does not include signed addendums for all providers listed in the application.

Barriers to Care Initiative Report Form

As a condition of participation in the BabyReady program, providers must select and carry out one of the initiatives identified in the Barriers to Care Initiative form submitted at enrollment. The chosen initiative should address a specific challenge the clinic has faced in providing access to care.

Within six months of receiving its first caseload, the clinic must submit its AIM statement or SMART goal(s) to the BabyReady program. To support this process, BabyReady offers a Barriers to Care Initiative (AIM) template and a BabyReady fillable toolkit that includes sample initiatives and guidance for developing the clinic’s goals.

Each year, by June 30, clinics are required to complete and submit a Barrier to Care Initiative annual report. The report form serves as a guide to documenting outcomes, data, and the steps the clinic took to improve access to care.

Please submit all forms to cmforms@state.sd.us or by fax to 605.773.5246.

Use the BabyReady Opt-In & Selection form to opt a recipient into the BabyReady Program and designate their provider.

If you have a recipient on your caseload that has miscarried, informs you they have selected another provider, or you are unable to establish care, the provider should complete a BabyReady Exit form.

For additional questions, please contact Medical Services at 605.773.3495.

Eligible Providers

Participating providers must be enrolled in South Dakota Medicaid. The following provider types are eligible to enroll in the program:

  • Physicians
  • Physician Assistants
  • Certified Nurse Practitioners
  • Certified Nurse Midwives
  • Rural Health Clinics
  • Federally Qualified Health Centers
  • Indian Health Services (IHS) and Tribal 638 Providers