Maternal child services

Taking Care of Baby and Me®

The Taking Care of Baby and Me® program 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 and case 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 1-833-731-2162.

We encourage 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 or fax the forms to Wellpoint at 800-964-3627.

We also encourage providers to complete the Maternity Module in Availity*:

Perform an Eligibility and Benefits (E&B) request on a Wellpoint 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 will be asked what the estimated due date is and may fill that date out if you know it or have an estimate. You may leave this field 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

*Availity, LLC is an independent company providing administrative support services on behalf of Wellpoint.

If a patient would benefit from case management, call

Call:

1-833-731-2162

Fax the forms to Wellpoint

Fax:

800-964-3627

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 process are to identify, treat, and/or refer to treatment women who are using/abusing unhealthy substances. Wellpoint 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 case management, call Provider Services at 1-833-731-2162.

Neonatal intensive care unit (NICU) case management

The NICU case management program provides education and support designed to help with the day-to-day stress of having a baby in the NICU, encourages parent/caregiver involvement, and helps with preparing for baby’s discharge from the hospital and thereafter. Parents/caregivers are provided with education and resources that outline successful strategies they may use to collaborate with the baby’s NICU care team while inpatient as well as after discharge.

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 1-833-731-2162.