Maternal child program
Taking Care of Baby and MeTM is a proactive case-management 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 and 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.
Experienced case managers work with members and providers to establish a care plan for our highest risk pregnant members. Case managers collaborate with community agencies to ensure mothers have access to necessary services, including transportation, WIC, 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 Taking Care of Baby and MeTM program — a comprehensive case management and care coordination program offering:
- 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
My Advocate® program
This program provides pregnant women with proactive, culturally appropriate outreach and education through interactive voice response (IVR), smartphone application or website. This program does not replace the high touch case management 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, to facilitate connections between them and our case managers, and to 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 .
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.
Related resources
- Promoting Maternal Health
- Postpartum Mood Disorder Flier
- Maternal Cardiovascular Health Flier
- Maternity billing to improve quality and postpartum engagement
- Maternity and multiple births billing guidelines and resources — quick reference guide
- New claim submission process: Early Elective Delivery
- Doula Program for pregnant and postpartum women
- Prenatal ultrasound coverage and coding update
- Medicaid postpartum coverage extension, postpartum optimization, and promoting birth equity
- Coding Reimbursement for EED Reminder
- Racial Disparities Provider Presentation
- Prenatal Ultrasound Policy/ICD-10 Update
- Coding Spotlight — Pregnancy
- TCOBAM Provider Booklet
- NAS Provider Toolkit
- Postpartum Visit Schedule
- Safe Prevention of Primary Cesarean Delivery
- Pregnancy notification process using the Benefit Look-Up Tool
- Postpartum Interventions for Maternal Morbidity and Mortality
- 2023 Prenatal Ultrasound Diagnostic Code List