Maternal child services

Wellpoint is committed to keeping both mom and baby healthy with our selection of programs and resources.

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 members 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
Proactive care coordination and complex case management support for parents of infants that are admitted to the neonatal intensive care unit (NICU)

This program helps 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.

If you would like more information about the OB Case Management program or have a patient who would benefit from care management, please contact Provider Services or the Case Management Department — available Monday through Friday, 8 a.m. to 5 p.m. local time.

Provider Services

Call: 800-782-0095

Case Management

Call: 304-347-2475

Neonatal Intensive Care Unit (NICU) Case Management

For parents with infants admitted to the neonatal intensive care unit (NICU), we offer the NICU Case Management program. This program focuses on high-risk infants who require admission to the NICU and employs a seamless and integrated approach to proper management of both clinical and social factors.

Highly skilled and dedicated NICU case managers approach each member’s case holistically to guarantee better guidance to the most appropriate care and prevent unnecessary, avoidable hospital readmissions and healthcare expenses.

While inpatient, parents and caregivers are provided with education and support to assist them with the day-to-day stress of having a baby in the NICU. Parents are taught successful strategies to use when collaborating with the child’s NICU care team while inpatient and are prepared for a safe and successful discharge home.

Once discharged, NICU case managers continue to foster best outcomes, drive whole health, promote efficient community and national resource consumption while also preventing unnecessary and avoidable hospital readmissions and health care expenses.

The stress of having an infant in the NICU may result in post-traumatic stress disorder (PTSD) symptoms for parents and loved ones. To reduce the impact of PTSD among our members, we assist by:

Guiding parent(s) into hospital-based support programs, if available
Screening parent(s) for PTSD approximately one month after their baby’s date of birth
Referring parent(s) to behavioral health program resources, if indicated
Reconnecting 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 from care management, please contact your OB Practice Consultant or Provider Services.

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. Wellpoint is here to support providers, pregnant members, and their little ones on the way.

Concierge Care

As part of Taking Care of Baby and Me, perinatal members have access to a digital care management program, called Concierge Care. The Concierge Care program is an intuitive, personalized digital experience that syncs with care management platforms enabling case managers to triage, monitor, and engage pregnant members in a holistic, personalized way to achieve their health goals.

The Concierge Care maternity program provides pregnant and postpartum members with proactive, culturally appropriate education via a smartphone app. Once members are identified as being pregnant, they will receive an invitation to access this program by downloading the app. After the app is installed and the member registers, they are asked to complete a pregnancy screener. The answers provided in the screener allows Wellpoint to assess their pregnancy risk.

After risk assessment is complete, the digital program delivers gestational age-appropriate education directly to the member. This program does not replace the high-touch, individual case management approach for our highest risk pregnant members; however, it does serve as a supplementary tool to extend our health education outreach. The goal of the expanded outreach is to ensure maternity education is available to all perinatal members and to help Wellpoint identify members who experience a change in risk acuity throughout the perinatal period.

Digital elements of the Concierge Care Maternity app include:

Tracking tools for perinatal milestones, weight, blood pressure, blood sugar, fetal kick, and contraction counters with nudges to perform
A personalized experience with pre- and post-health screenings and health-risk monitoring
24/7 access to meditation, mindfulness tools, and educational support
Access to licensed nurses who support in-depth care coordination through text, email, and chat features
Behavioral health support inclusive of postpartum depression screening