Maternal Child Services

The New Baby, New LifeSM program is a comprehensive, proactive care management and care coordination program for all expectant mothers and their newborns. It offers:

  • Individualized, one-on-one care management support for women at the highest risk.
  • Care coordination for moms who may need a little extra support.
  • Educational materials and information on community resources.
  • Incentives to keep up with prenatal and postpartum checkups and well-child visits after the baby is born.

This program helps identify pregnancies as early as possible. Once pregnant members are identified, we act quickly to assess obstetrical risk and ensure appropriate levels of care and care management services to mitigate risk.

For more information about the OB Care Management program or if you have a patient who would benefit from care management, call Provider Services.

Required Notifications

  • Pregnancy
  • Delivery

Healthy Blue requires notification of pregnancy after the first prenatal visit and notification of delivery following birth. You can complete the notifications through our Interactive Care Reviewer (ICR) in Availity or fax the forms to 1-800-964-3627.

For 599 CHIP members, please use the faxed form.

Fax:

1-800-964-3627

Complete the Availity Maternity Module

  • Perform an eligibility and benefits request on a Healthy Blue member and choose one of the following benefit service types: maternity, obstetrical, gynecological, obstetrical/gynecological.
  • You will be asked if the member is pregnant and, if so, for an estimated due date. If you do not have an estimated due date, you can leave it blank.
  • After you submit your answer, you will be taken to the benefits page like normal. In the background, a Maternity Module will have been generated for this patient in the Maternity application in Payer Spaces for the Healthy Blue plan.

Substance Use Disorders In Pregnancy And Neonatal Abstinence Syndrome

Substance use disorders (SUDs) are on the rise and are of particular concern in women of childbearing age who are or may become pregnant. OB providers have a unique opportunity to help break the pattern of opioid misuse and prevent health consequences for both mother and child.

The key steps in this practice are to:

  • Identify women who are using or abusing unhealthy substances.
  • Treat or refer to treatment.

Healthy Blue is here to support providers, pregnant members and their little ones on the way.

If you would like more information about the OB Care Management program or have a patient who would benefit from care management, call Provider Services.

Related Resource

My Advocate® Program

As part of our program, members are offered the My Advocate* program. This program is a supplementary tool to extend health education outreach. My Advocate provides pregnant and postpartum women proactive, culturally appropriate outreach and education through smartphone application, website and interactive voice response. Eligible members can receive regular calls with tailored content from a voice personality named Mary Beth, or they can access the program via a smartphone application or website.

My Advocate does not replace the high touch care management approach for high-risk pregnant women.

Each automated My Advocate communication gives the member specific health care education in a warm, easy-to-understand fashion. Eligible members receive regular messages with tailored content from Mary Beth in English or Spanish. Topics include:

  • Obstetric high-risk screening.
  • Maternal and child health:
    • Prenatal care
    • Postpartum care
    • Well-baby care

For More Information

Visit the My Advocate site or download the app from the App Store.

Neonatal Intensive Care Unit (NICU) Care Management

For parents with infants admitted to the NICU, we offer the You and Your Baby in the NICU program and a NICU Post-Traumatic Stress Disorder (NICU PTSD) program.

You And Your Baby In The NICU Program

Parents can expect education and support on how to be involved in the care of their babies, visits to the NICU, interaction with hospital care providers and preparation for discharge. We provide parents with material outlining strategies to collaborate with their care team.

The NICU Care Management program is committed to ensuring high-risk infants have a well-defined plan for quality and cost effective NICU care. When ready, we ensure and a safe and successful transition to the home environment.

If you would like more information about the OB Care Management program or have a patient who would benefit from care management, call Provider Services.

NICU Post-Traumatic Stress Disorder Program

The stress of having an infant in the NICU may result in Post-Traumatic Stress Disorder (PTSD) symptoms for parents and loved ones. To reduce the impact of PTSD among our members, we assist by:

  • Guiding parents into hospital-based support programs, if available, as well as to target support services and referrals to providers.
  • Screening parents for PTSD approximately one month after the date of birth.
  • Referring parents to behavioral health program resources when needed.

Our care managers are here to help you. If you have a member in your care that would benefit from care management, call Provider Services .

Members can also call our 24/7 NurseLine at 1-833-388-1405.

To view and access forms related to pregnancy and maternal child services, please visit the Forms page.

Related Information

Documents

* Change Healthcare is an independent company managing the My Advocate program on behalf of Healthy Blue.

Provider Tools & Resources