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Pregnancy Risk Assessment
System that allows providers to simultaneously notify managed care plans and county departments of job and family services so that eligibility is not disrupted, and facilitates the efficient connection to needed services.
Pregnancy Risk Assessment

What is the PRAF 2.0?

The PRAF 2.0 is Ohio Medicaid’s preferred method for providers to notify the state and contracted managed care organizations of an individual’s pregnancy.  PRAF 2.0 is the web-based version of the standardized pregnancy notification, paper PRAF, ODM 10207, ,  which replaced the thirty year old ODM 03535 and the five separate MCP pregnancy notifications, which 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 to a provider and have the prenatal visit agent role assigned in MITS. Users 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 may aid some women in carrying babies to term. In partnership with ODM and ODH, the Ohio Perinatal Quality Collaborative developed a website of  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 preterm birth prevention and how your practice can contribute to reducing infant mortality can be found on the OPQC website.