Maternal child services

New Baby, New LifeSM program

The New Baby, New LifeSM program is a comprehensive proactive care management and care coordination program for all expectant mothers and their newborns. It offers:

  • Individualized, one-on-one care 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 care management services to mitigate risk.

If you would like more information about the OB Care Management program or have a patient who would benefit from care management, call Provider Services at 844-912-1226.

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My Advocate® program

As part of New Baby, New Life, members are offered the My Advocate program. My Advocate provides pregnant and postpartum women proactive, culturally appropriate outreach and education through interactive voice response (IVR). Eligible members receive regular calls with tailored content from a voice personality (Mary Beth), or they may choose to access My Advocate via a smartphone application or website. This program does not replace the high touch care management approach for high-risk pregnant women; however, it does serve as a supplementary tool to extend our health education reach.

Each automated My Advocate communication gives the member specific healthcare education in a warm, easy-to-understand fashion. Eligible members receive regular messages with tailored content from Mary Beth in English or Spanish. The topics include:

  • Obstetric high-risk screening
  • Maternal and child health:
    • Prenatal care
    • Postpartum care
    • Well-baby care

For more information on My Advocate, visit https://www.myadvocatehelps.com .

Pregnancy resources

Pregnancy Risk Assessment Form (PRAF)

Anthem Blue Cross and Blue Shield (Anthem) encourages notification of pregnancy after the first prenatal visit using Ohio’s Pregnancy Risk Assessment Form (PRAF). The PRAF may be completed using the state’s web portal, NurtureOhio, or via paper fax. For detailed instructions on using the PRAF and for non-OB providers to complete the Report of Pregnancy (ROP), visit the state’s website.

PRAF 2.0 Provider User Manual

The PRAF 2.0 Provider User Manual can assist you in setting up access for your staff and assigning the prenatal visit role needed to access the PRAF 2.0 and provides step-by-step instructions for completing the PRAF 2.0.

Electronic Pregnancy Risk Assessment Form (ePRAF)

Notification of delivery

Anthem requires notification of delivery following birth. Please send newborn and birth clinical data along with authorization requests through Availity  or faxed to National Customer Care (NCC) at 800-964-3627.

Preventing preterm birth

Anthem encourages the prevention of preterm birth through the use of progesterone treatment. For more information and best practices, visit the Ohio Perinatal Quality Collaborative , and the Ohio Department of Health's progesterone-messaging toolkit .

Additional resources

Neonatal Intensive Care Unit (NICU) care management

The NICU care management program provides education and support designed to help parents cope with the day-to-day stress of having a baby in the NICU. Parents are provided with education and resources that outline successful strategies they may use to collaborate with the baby’s NICU care team while inpatient. Once discharged, NICU care managers continue to educate and support the family to foster improved outcomes, prevent unnecessary hospital readmissions, and ensure efficient community resource consumption as needed.

NICU post-traumatic stress assistance

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

  • Guiding parent(s) into hospital-based support programs, if available
  • 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
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If you have a member in your care that would benefit from NICU care management, call us at 844-912-1226 (TTY: 711). Members can also call our 24/7 NurseLine at 844-430-0341.

If a patient would benefit from care management, call

Phone

Call: 844-912-1226

Fax forms to Anthem Blue Cross and Blue Shield

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Fax: 877-881-1831

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

If you would like more information about the OB Care Management program or have a patient who would benefit from care management, call Provider Services at 844-912-1226.

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Related information

Provider tools & resources

Join our network

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