Maternal Child Services
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 1-800-454-3730, Monday through Friday between 8 a.m. to 5 p.m. PT.
Notification of pregnancy and delivery to Amerigroup Washington, Inc. at 1-800-964-3627 is required at the first prenatal visit and following birth. You may choose to complete the notification of pregnancy and delivery in the online Interactive Care Reviewer.
You and Your Baby in the NICU program
For parents with infants admitted to the neonatal intensive care unit (NICU), we offer the You and Your Baby in the NICU program and a NICU Post-Traumatic Stress Disorder (NICU PTSD) program.
Parents receive education and support on how to be involved in the care of their babies, visit the NICU, interact with hospital care providers and prepare for discharge. Parents are provided with an educational resource outlining successful strategies they may deploy to collaborate with the care team.
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 1-800-454-3730, Monday through Friday between 8 a.m. to 5 p.m. PT.
Related resource:
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. Amerigroup 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 1-800-454-3730, Monday through Friday between 8 a.m. to 5 p.m. PT.
Related resource:
My Advocate® program
As part of our program, members are offered the My Advocate program. This program provides pregnant and postpartum women proactive, culturally appropriate outreach and education through interactive voice response, smartphone application or website. Eligible members receive regular calls with tailored content from a voice personality (Mary Beth) or they may choose to access the program via a smartphone application or website. This program does not replace the high‑touch case 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 health care 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.
Related information
- Coding spotlight — Pregnancy A provider’s guide to diagnosis coding for pregnancy
- Safe Prevention of Primary Cesarean Delivery
- Postpartum Mood Disorder Flier
- New claim submission process: Early Elective Delivery
- Coding Reimbursement for EDD-Reminder
- New Baby, New Life Provider Booklet
- Prenatal Ultrasound Policy/ICD-10 Update
- Cervical length measurement by transvaginal ultrasound
- Medically Intensive Children's program
- Coding Spotlight — Pregnancy
- Women’s Health Quick Tips
- Pregnancy notification process using the Benefit Look-Up Tool
- Postpartum Interventions for Maternal Morbidity and Mortality
- Postpartum Visit Schedule
- Maternal Cardiovascular Health Flier
- 2023 Prenatal Ultrasound Diagnostic Code List
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Referrals
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange