Maternity Case Management Programs:
Supporting Expectant Mothers

Having the right support and resources during pregnancy can mean better outcomes and care quality for both mothers and babies.

That’s why Highmark has created maternity case management programs to ensure the best possible outcomes for moms and babies, particularly for high-risk pregnancies. In addition, the Blue Cross and Blue Shield Association (BCBSA) created the Baby Blueprints® maternity program to give expectant mothers and their health care providers the support and resources they need.

We encourage you to discuss these programs with your patients and, when appropriate, refer them to these programs.

High Risk Pregnancy Program

The High Risk Pregnancy program addresses the risks and needs of women planning a pregnancy who have a history of high-risk pregnancy, or who may be at higher risk for complications secondary to fertility planning and treatments, or other comorbidities such as asthma, diabetes, depression, or chronic pain. Assessment covers the prenatal period and the initial postpartum period to allow for collection of outcome data regarding the impact for both mother and baby. Case management will be provided to the mother and baby through discharge to home.

Maternal Opioid & Mental Health Support (MOMS) Program

The MOMS program helps pregnant women gain access to quality care in a stigma-free environment to help reduce the negative outcomes associated with untreated mental health and opioid use disorders during pregnancy, such as Neonatal Abstinence Syndrome (NAS). Social Determinants of Health needs are addressed and women are assisted in obtaining evidence-based treatments and community resources. Support is provided throughout pregnancy and into the postpartum period to promote health and recovery for both the mom and the infant.

Baby Blueprints Maternity Program

The Baby Blueprints program provides tools, education, information, and ongoing, personalized support from health coaches throughout all stages of their maternity experience to encourage pregnant women to take a more proactive role in their health, and help support positive outcomes for both moms and babies.

 

How to Refer Your Patients

If you feel that any expectant mothers you care for can benefit from any of these programs, you can refer them to these programs as follows:

By Phone

  • MOMS Program: Call (833) 834-6865 to connect immediately to a Behavioral Health Specialist (BHS)
  • Baby Blueprints: Expectant mothers simply call toll-free at 1-866-918-5267 to enroll over the phone. They will then receive a con­firmation mailing with helpful pregnancy tips.

By NaviNet®

  • Log into NaviNet and access Plan Central
  • Click the Case Management Referral and Inquiry link under Workflows for this Plan to go to the Clinical Care & Wellness (CC&W) page
  • Click the Create New Referral button under Submit New Referral to CC&W
  • Follow the steps to create and submit the referral

By Fax

Baby Blueprints is a registered trademark of the Blue Cross and Blue Shield Association.

 

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