Maternal child program
Taking Care of Baby and MeTM is a proactive case-management program for all expectant mothers and their newborns. It identifies pregnant women as early in their pregnancies as possible through the review of state enrollment files, claims data, lab reports, hospital census reports, provider notification of pregnancy and delivery notification forms and self-referrals. 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.
Experienced case managers work with members and providers to establish a care plan for our highest risk pregnant members. Case managers collaborate with community agencies to ensure mothers have access to necessary services, including transportation, WIC, breastfeeding support and counseling.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy.
That’s why we encourage all of our moms-to-be to take part in our Taking Care of Baby and MeTM program — a comprehensive case management and care coordination program offering:
- 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
Related resources
- Promoting Maternal Health
- Postpartum Mood Disorder Flier
- Maternal Cardiovascular Health Flier
- Maternity billing to improve quality and postpartum engagement
- Maternity and multiple births billing guidelines and resources — quick reference guide
- New claim submission process: Early Elective Delivery
- Doula Program for pregnant and postpartum women
- Prenatal ultrasound coverage and coding update
- Medicaid postpartum coverage extension, postpartum optimization, and promoting birth equity
- Coding Reimbursement for EED Reminder
- Prenatal Ultrasound Policy/ICD-10 Update
- Coding Spotlight — Pregnancy
- Taking Care of Baby and Me Provider Booklet
- NAS Provider Toolkit
- Postpartum Visit Schedule
- Safe Prevention of Primary Cesarean Delivery
- Pregnancy notification process using the Benefit Look-Up Tool
- Postpartum Interventions for Maternal Morbidity and Mortality
- 2023 Prenatal Ultrasound Diagnostic Code List