Maternal child services
New Baby, New LifeSM is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns. It offers:
- Individualized, one-on-one case 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 pregnant women 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‑management services to mitigate risk.
If you would like more information about the OB Case Management program or have a patient who would benefit from case management, call Provider Services at 844-521-6942.
Healthy Blue requires notification of pregnancy after the first prenatal visit and notification of delivery following birth. Our preferred method to complete the notification of pregnancy and delivery is by way of the online Interactive Care Reviewer (ICR) tool, which is available through your Availity account. You may also fax the forms to Healthy Blue at 1-877-269-5705.
Call Provider Services
Phone:
1-844-521-6942
Fax the forms to Healthy Blue
Fax:
1-877-269-5705
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, thus, avoiding health consequences for both mother and child. The important steps in this practice are to identify, treat, and/or refer to treatment women who are using/abusing unhealthy substances. 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 Case Management program or have a patient who would benefit from care management, call Provider Services at 844-521-6942.
Neonatal Intensive Care Unit Care Management Program
For parents with infants admitted to the neonatal intensive care unit (NICU), we offer the NICU Case Management program.
The stress of having an infant in the NICU can potentially result in Post-Traumatic Stress Disorder (PTSD) symptoms among parents and loved ones. In an effort to reduce the impact of PTSD among members, we assist by:
- Guiding parent(s) into hospital-based support programs, if available, as well as to target support services and referrals to providers
- Screening parent(s) for PTSD approximately one month after the date of birth
- Referring parent(s) to behavioral health program resources, if indicated
- Reconnecting with families with a one-month follow-up call to assess if the parent(s) received benefit from initial contact and PTSD awareness
If you would like more information about the NICU Case Management program or have a patient who would benefit, please call Provider Services at 844-521-6942.
Forms
To view and access forms related to pregnancy and maternal child services, please visit the Forms page.
Related resources
Documents
- NAS Provider Toolkit
- Postpartum Mood Disorder Flier
- A provider’s guide to diagnosis coding for pregnancy
- New Baby, New Life Provider Booklet
- Prenatal Ultrasound Diagnosis (DX) Code Update
- Postpartum Visit Schedule
- Safe Prevention of Primary Cesarean Delivery
- Postpartum Interventions for Maternal Morbidity and Mortality
- Maternal Cardiovascular Health Flier
- 2023 Prenatal Ultrasound Diagnostic Code List
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Referrals
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)