Obstetrical Home Care Programs

This policy covers obstetrical home care programs — including obstetrical nurse assessments, home metoclopramide or ondansetron infusions, 1–4 L hydration therapy, diabetic pregnancy management (nutrition education and short courses of home visits for insulin- and non‑insulin‑dependent diabetes), hypertensive disorder surveillance and management (including remote BP monitoring for preeclampsia without severe features), and related services such as dietary analysis. Coverage is conditional on specified criteria (e.g., failure of conservative therapy before home antiemetic infusions; one home visit for gestational/chronic hypertension; initial courses generally limited to up to seven days with reauthorization requiring documented reassessment), excludes inpatient‑level conditions (preeclampsia with severe features, preterm labor, PPROM), and requires appropriate home environment, caregiver competency, and attention to drug‑interaction and safety cautions.

"Obstetrical Nurse Assessment"