Maternal child services
New Baby, New LifeSM is a proactive case management (CM) program for all expectant mothers and their newborns. This program helps to identify pregnant members as early in their pregnancies as possible. Once pregnant members are identified, we act quickly to assess obstetrical risk and ensure appropriate levels of care and case management services to mitigate risk.
For our highest-risk pregnant mothers, experienced case managers work with members and providers to establish a care plan. Case managers collaborate with community agencies to ensure mothers have access to necessary services.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy.
That’s why we encourage all of our moms-to-be to take part in our New Baby, New LifeSM program — a comprehensive CM and care coordination program offering:
- Individualized, one-on-one CM support for high-risk pregnant members.
- Care coordination for pregnant members who may need a little extra support.
- Educational materials and information on community resources.
- Healthy Rewards to members who keep up with prenatal and postpartum checkups and well-child visits after the baby is born.
Notification of pregnancy
Healthy Blue encourages notification of pregnancy after the first prenatal visit and notification of delivery following birth. You may choose to complete the notification of pregnancy and delivery in the online Interactive Care Reviewer (ICR) or fax the forms to Healthy Blue at 866-387-2974.
We also encourage providers to complete the Maternity form in Availity:*
- Perform an eligibility and benefits (E&B) request on the desired member.
- Choose one of the following benefit service types: maternity, obstetrical, gynecological, or obstetrical/gynecological.
- Before the benefit results screen, you will be asked if the member is pregnant. Choose Yes, if applicable. If you indicate Yes, you may provide the estimated due date, if it is known, or leave it blank if the due date is unknown.
- After submitting your answer, the E&B will display. If the member was identified as pregnant, a Maternity form will now be available. You may access the form by navigating to the Applications tab and selecting the Maternity link.
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. Obstetric providers have a unique opportunity to help break the pattern of opioid misuse, thus, avoiding health consequences for both mother and child. The important steps in this process are to identify a treat and to refer women who are using unhealthy substances to treatment. is here to support providers, pregnant members, and their little ones on the way.
My Advocate® program
As part of the New Baby, New LifeSM program, members are offered the My Advocate® program. My Advocate provides pregnant and postpartum women proactive, culturally appropriate outreach and education through interactive voice response (IVR). Eligible members receive regular calls with tailored content from a voice personality (Mary Beth), or they may choose to access My Advocate via a smartphone application or website. This program does not replace the high-touch case manager approach for high-risk pregnant women. However, it does serve as a supplementary tool to extend our health education reach. The goal of the expanded outreach is to identify pregnant women who have become high-risk, facilitate connections between them and our case managers, and improve member and baby outcomes. For more information on the My Advocate program, visit www.myadvocatehelps.com*.
*Change Healthcare is an independent company that offers the My Advocate program to members of BlueChoice HealthPlan.
NICU support
For parents with infants who are admitted to the NICU, we offer the NICU Case Management program.
The Newborn Intensive Care Unit (NICU)Case Management programfor Healthy Blue provides education and support to help parents cope with the day-to-day stress of having a baby in the NICU, encourages the involvement of parents or caregivers, and helps them to prepare themselves and their homes for discharge. Parents are provided education and resources that outline successful strategies they may use to collaborate with the baby’s NICU care team while inpatient and to manage their baby’s health after discharge. Once discharged, NICU case managers continue to provide education and support to foster improved outcomes, prevent unnecessary hospital readmissions, and promote efficient community resource consumption where indicated.
Contact us
Our case managers are here to help you. If you have a member in your care that would benefit from case management, please call us at 866-781-5094 (TTY 866-773-9634), Mon.–Fri. 8 a.m.–6 p.m. Members can also call our 24/7 NurseLine at 866-577-9710 (TTY: 800-368-4424), available 24 hours a day, 7 days a week.
Related information
- Safe Prevention of Primary Cesarean Delivery
- Coding Spotlight — Pregnancy A provider’s guide to diagnosis coding for pregnancy
- Postpartum Mood Disorder Flier
- Preventing Preterm Birth
- Postpartum Visit Schedule
- Availity Pregnancy Notification Process
- Pregnancy Notification Form
- Newborn Notification Report
- New Baby, New Life Provider Booklet
- Postpartum Interventions for Maternal Morbidity and Mortality
- Maternal Cardiovascular Health Flier
Nurse-Family Partnership
Through Nurse-Family Partnership, a registered nurse can educate, encourage and support new mothers who are pregnant 28 weeks or less and continuing throughout the first two years of motherhood. Eligible mothers who meet income requirements and live within the service areas can get assistance from a personal nurse at no additional charge.
