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PRAF 2.0 Ohio Department of Medicaid’s Online Notification of Pregnancy System

Coming soon! NurtureOhio is transitioning to a new system in January 2027.

If you would like to support testing the new system, please reach out to momsandbabies@medicaid.ohio.gov.

More information will be released soon.

Ohio Medicaid Providers/Practices: Select "OHID" from dropdown to log in with your OHID Username and Password to submit pregnancy notifications and referrals for patients currently insured by Ohio Medicaid.

All Other Users, including MCEs, CDJFS and CBOs: Select "Internal" from dropdown to login with your NurtureOhio Username and Password provided to you via email.
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Help
  • For issues logging into NurtureOhio please contact nurtureohiosupport@deliverhealth.com

  • For issues and questions relating to your PNM account, please contact your Provider Administrator. If you do not know who your Provider Administrator is, you are the Provider Administrator, or you need additional PNM support, please contact the integrated help desk via email at IHD@medicaid.ohio.gov or at (800) 686-1516. If your issues/questions persist, please email MomsandBabies@medicaid.ohio.gov

  • For other questions about the PRAF 2.0 or to discuss problems encountered, please email MomsandBabies@medicaid.ohio.gov.

  • For information on the NurtureOhio website and the PRAF 2.0, visit Ohio Department of Medicaid PRAF webpage

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Help
  • For issues and questions relating to your NurtureOhio account information, please contact MomsandBabies@medicaid.ohio.gov.

  • For information on the NurtureOhio website and the PRAF 2.0, visit Ohio Department of Medicaid PRAF webpage

What is the PRAF 2.0?

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  • ODMs Preferred notification of pregnancy
  • The only pregnancy notification that automatically:
    • Updates Medicaid eligibility in order to:
      • Prevent loss of coverage during pregnancy
      • Prevent payment delays
    • Notifies the managed care plan of pregnancy
    • Assesses for additional patient needs

Who Can Use it?

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  • Any Ohio Medicaid contracted individual who identifies pregnancy (OB/GYNs, FQHCs, MCEs, CBOs, PCPs, EDs, ect.)

How to get access to NurtureOhio (PRAF 2.0)

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  • Nurture Ohio PRAF 2.0 Updates - December 1, 2025
  • Provider User Manual
  • Provider Login Troubleshooting Guide
  • MCO User Manual
  • CBO User Manual
  • CDJFS User Manual
  • CDJFS Troubleshooting FAQ
  • ODM PRAF Website

EMR User Guides

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  • MPRT User Manual
  • Azara User Manual

Updates

Important Update:

On November 6th, 2026, NurtureOhio will make the following updates: 

  • Non-OBGYN Provider users will be able to save a Report of Pregnancy (ROP) as In-Process and return later to complete and submit it. 
  • The Patient Medicaid ID field on the PRAF and ROP will be updated to display 'Patient Medicaid ID (12 digits)' to clarify the required format.
  • Patient contact information will be added to the Referrals export available to CDJFS users.
  • Automatic MCO-to-MCO reassignment will resume. NurtureOhio will periodically verify member coverage and update PRAFs and ROPs when MCO reassignments occur.
On August 28, 2026, Nurture Ohio will release the following updates.
  • PRAF Updates
    • "Prior and Current Perinatal Risks." question is adding the following, exclusive, non-matrix, options “This patient has been assessed for the above risks. No risk identified.” and “Unable to assess risk."
    • "Patient would benefit from Managed Care and/or County Job and Family Services assistance…" question is changing the "No Needs Identified" option to “Assessment Completed - ​No Assistance Requested”.
    • New question “Permission is given for text messages about WIC (please ensure cell phone number is listed on page 2 of PRAF)” with new export header TXTWIC.
    • "My patient would benefit from a referral for Home Visiting." question text is updating to “My patient would benefit from a referral for Help Me Grow Home Visiting."
    • "Permission is given for text messages about Home Visitation…" question text is updating to “Permission is given for text messages about Help Me Grow Home Visiting (please ensure cell phone number is listed on page 2 of PRAF)”
  • ROP Updates
    • New question “Permission is given for text messages about WIC." with new export header TXTWIC.
    • Non-OBGYN users will access ROP forms based on their provider association in the PNM. They will be able to view both the ROPs they submitted themselves and any ROPs submitted by other users associated with the same provider.
On July 1, 2026, Nurture Ohio resumed the automatic Traditional Medicaid to MCO reassignment.
  • NurtureOhio will periodically check for changes in coverage.
  • If a patient has been reassigned from Traditional Medicaid to a Managed Care Organization (MCO), NurtureOhio will automatically update the patient's PRAF or ROP with the reassigned MCO information.
  • Reassigned PRAFs and ROPs will be included in MCO exports, including the nightly file export.
Please email MomsandBabies@medicaid.ohio.gov if you have any questions or experience any issues.
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