Web-Based Pregnancy Risk Assessment Form (PRAF 2.0)

What is the PRAF 2.0?
The PRAF 2.0 was developed through a partnership with the Ohio Perinatal Quality Collaborative, the Ohio Department of Health, 23 Medicaid Maternal and Fetal Medicine providers and the five Medicaid Managed Care Plans (MCPs) to standardize pregnancy notification and decrease the risk of preterm birth by facilitating the provision of progesterone. The ODM 10207, which replaced the thirty year old ODM 03535 and the five separate MCP pregnancy notifications, requires providers to fax copies to the patient’s county of residence, and the patient’s MCP to prevent patients from losing Medicaid coverage during pregnancy and facilitate more efficient linkage to needed services and resources. The ODM 10207 can also be faxed to the MCP-contracted home health agency and specialty pharmacy as a home health referral and prescription.

The web-based PRAF 2.0 offers the same benefits but automatically notifies the county, MCP and home health provider of the pregnancy and need for progesterone once it is submitted. The PRAF 2.0 also allows for an Ohio Board of Pharmacy approved progesterone prescription to be printed and faxed to the appropriate pharmacy.

How to get started?
In order to protect Medicaid patient health information, only staff associated with actively enrolled Medicaid providers are allowed to access the NurtureOhio website where the PRAF 2.0 is housed. Provider staff accessing the PRAF 2.0 must be assigned a prenatal visit agent role and are required to use their MITS ID and password to access the Nurture Ohio website.
The PRAF 2.0 Provider User Manual can assist you in setting up MITS access for your staff and assigning the prenatal visit role needed to access the PRAF 2.0. Along with the accompanying YouTube video, the user manual provides step by step instructions for completing the PRAF 2.0.

If the PRAF 2.0 is down for maintenance or otherwise unavailable, please refer to the ODM 10207 Instructions for faxing the ODM 10207 (paper-based PRAF) to the appropriate entities.

What other resources can help my practice reduce preterm birth?
Preterm birth is a major contributor to Ohio’s disproportionately high infant mortality rate. Timely and consistent receipt of progesterone can aid in carrying babies to term. As part of the Ohio Progesterone Promotion project, the Ohio Perinatal Quality Collaborative, in partnership with ODM and ODH, developed the Progesterone Change Package to spread best practices related to the provision of progesterone supplementation. The Change Package includes resources and tools to reduce preterm birth through:

  • Promoting early access to prenatal care
  • Consistent early recognition of women with prior preterm birth
  • Adopting a cervical length ultrasound screening protocol
  • Expediting progesterone supplementation
  • Customizing care to maintain women on progesterone
More information about the progesterone project and how your practice can contribute to reducing infant mortality can be found on the OPQC website.