Providers

Maternal child services

New Baby, New LifeSM is a proactive case management (CM) program for all expectant mothers and their newborns. It identifies pregnant women as early in their pregnancies as possible through the review of state enrollment files, claims data, lab reports, hospital census reports, provider notification of pregnancy, delivery notification forms and self-referrals. 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 including transportation; Women, Infants, and Children (WIC); home visitor programs; and breastfeeding support and counseling.

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.

My Advocate® program

As part of the New Baby, New LifeSM program, members are offered the My Advocate® program. This program provides pregnant women with proactive, culturally appropriate outreach and education through interactive voice response (IVR), text or smartphone application. This program does not replace the high-touch CM 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 out-reach is to identify pregnant women who have become high-risk, facilitate connections between them and our case managers, and improve member and baby outcomes. Eligible members receive regular calls with tailored content from a voice personality (Mary Beth). For more information on the My Advocate program, visit www.myadvocatehelps.com.

To be sure your patients are part of the New Baby, New Life program, complete the Pregnancy Notification Report!

NICU support

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

Parents receive education and support on how to be involved in the care of their babies, visit the NICU, interact with hospital care providers and prepare for discharge. Parents are provided with an educational resource outlining successful strategies they may deploy to collaborate with the care team. The NICU PTSD program seeks to improve outcomes for families of babies who are in the NICU by screening and facilitating referral to treatment for PTSD in parents. This program will support mothers and families at risk for PTSD due to the stressful experience of having a baby in the NICU.

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

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.

Provider Tools & Resources

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality services to our members.