Get Obstetrical Needs Assessment Form - Aetna Medicaid

This guide provides step-by-step instructions for completing the Obstetrical Needs Assessment Form for Aetna Medicaid online. By following these clear instructions, users can ensure that the form is filled out accurately and efficiently.

Follow the steps to complete the form successfully.

1. To obtain the form, press the ‘Get Form’ button to access it in your chosen document editor.
2. Begin with the OB/GYN office information section. Enter the practice name, phone number, fax number, provider MAID#, and the date the form was initially faxed.
3. Next, fill out the member’s information section. Provide the member’s first and last name, date of birth, member ID, and details about health plan enrollment.
4. Complete health-related questions, such as weight, height, and screening dates. Document any important history that could impact the pregnancy, including previous complications.
5. In the middle section, enter information about past obstetric complications, current risks, and any active medical or mental health conditions that might affect the member’s pregnancy.
6. Provide details about the delivery, including date, method, and any complications experienced during the delivery process.
7. Lastly, review all filled sections for completeness. Make sure there are no blanks and all relevant fields have been filled accurately before finalizing.
8. Once you have completed the form, you can save your changes, download, print, or share the document as required.

Begin completing the Obstetrical Needs Assessment Form online today for a streamlined process.