The New Baby, New LifeSM program is a comprehensive, proactive case/care management and care coordination program for all expectant mothers and their newborns. It offers:
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/care management services to mitigate risk.
If you would like more information about the OB Case/Care Management program or have a patient who would benefit from care management, call Provider Services:
We require 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 via Availity or fax the forms to Empire BlueCross BlueShield HealthPlus (Empire) at 1-800-964-3627.
We also encourage providers to complete the Maternity Module in Availity:
After submitting your answer, you’ll be taken to the member’s benefits page. A Maternity Module will now be available for this member in the Payer Spaces section of Availity.
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. Empire is here to support providers, pregnant members and their little ones on the way.
If you would like more information about the OB Case/Care Management program or have a patient who would benefit from care management, call Provider Services at 1-800-450-8753, Monday to Friday 8:30 a.m. to 5:30 p.m. For after-hours support, call the 24/7 NurseLine at 1-800-300-8181.
As part of our New Baby, New LifeSM program, members are offered the My Advocate program:
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:
For more information on My Advocate, visit www.myadvocatehelps.com.
The NICU Care Management program is committed to ensuring that all of our high-risk infants have a well-defined plan for quality and cost effective NICU care and a safe and successful transition to the home environment. We provide a seamless, integrated approach, including early identification of members for NICU Care Management referral, enrollment, engagement and continued oversight through case closure.
Our program encourages parent/caregiver involvement in their infant’s care while hospitalized in the NICU. We focus on parents of infants expected to be in the hospital greater than two weeks who were born at 34 or fewer weeks’ gestation, born weighing 2,000 grams or less, born with major congenital anomalies, require ventilator care, or require major surgery. We provide education and support designed to help them cope with the day-to-day stress of having a baby in the NICU, encourage them to stay involved in the care of their babies and help them prepare themselves and their homes for discharge.
The stress of having a critically ill 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 our members, we assist by:
Our case managers are here to help you. If you would like more information about the NICU Care Management program or have a patient who would benefit, please call Provider Services at 1-800-450-8753, Monday to Friday 8:30 a.m. to 5:30 p.m.
To view and access all forms related to pregnancy and maternal child services, please visit the Forms page.