Maternal Child Services | NV Providers | State & Federal Programs

New Baby, New Life^℠

New Baby, New Life^SM is a proactive care management program for all expectant members and their newborns. Once pregnant members are identified, we act quickly to assess obstetrical risk and ensure appropriate levels of care management services to mitigate risk.

Experienced care managers work with members and care providers to establish a care plan for our highest-risk pregnant members. They may also collaborate with community partners to facilitate connecting members to local and national agencies that can assist with services and support.

Program offerings

Regarding pregnancy, we are committed to healthier outcomes for our members and their babies. That is why we encourage all our pregnant and postpartum members to take part in our New Baby, New Life program, a comprehensive program which offers:

Individualized, one-on-one complex care management support for members with the highest risk
Care coordination for those members who need a little extra support
Digital perinatal educational tools
Information on community resources
Incentives to encourage members to keep up with checkups
Proactive care management support for parents of infants who are admitted to the neonatal intensive care unit (NICU)

Digital perinatal app

As part of the New Baby, New Life program, perinatal members can access a digital perinatal offering. This digital offering is available through a smartphone app, providing pregnant and postpartum members with timely, proactive, and culturally appropriate education. Once members are identified as pregnant, they will receive an invitation to access this program by downloading the app. After the app is installed and the member registers, they are asked to complete a pregnancy screener. The answers provided in the screener allow us to assess their pregnancy risk.

After completing the risk assessment, the app delivers gestational-age appropriate education directly to the member. This digital offering does not replace the high-touch, individual care management approach for our highest-risk pregnant members. However, it does serve as a supplemental tool to extend our health education outreach. The expanded outreach aims to ensure maternity education is available to all perinatal members and help Anthem identify members who experience a change in risk acuity throughout the perinatal period.

We encourage healthcare providers to share information about this program and the digital perinatal app with members. Members may access information about the available products by visiting the Anthem member website.

For more information about the New Baby, New Life program or the digital app, please contact Provider Services by phone at 844-396-2330.

Notification of pregnancy and delivery

We request notification of pregnancy at the first prenatal visit and notification of delivery following birth. You may complete the notification of pregnancy and delivery in Availity Essentials or by faxing the completed forms to Anthem at 800-964-3627.

We also ask that care providers complete the Maternity Application in Availity Essentials during the initial eligibility and benefits (E&B) request performed on a pregnant member. The information obtained during this process supports our effort to identify pregnancies as early as possible so that we may notify eligible members of various perinatal resources, including the care management program.

Steps for completing the Maternity Application

Perform an Eligibility and Benefits (E&B) request on the desired member.
Choose one of the following benefit service types:
- Maternity
- Obstetrical
- Gynecological
- Obstetrical/gynecological
The maternity question screen will display if the appropriate conditions apply for the payer, user, member, and service type. Conditions include:
- Member is female
- Member is 45 years of age or under
- Member is 15 years of age or over
If a member is not pregnant, select ‘No’ and submit your selection to continue to the E&B response screen.
If member is pregnant, select ‘Yes’ and submit your selection. You will be prompted to enter additional date information if available, including:
- Estimated due date
- First prenatal appointment date
When ‘Yes’ is selected, the maternity data entered is saved for this member.
After final submission, the E&B response screen will display.

Navigating the Neonatal Intensive Care Unit (NICU)

If your baby is born premature or with a serious health condition, they may have been admitted to the NICU. We believe the more you understand about the NICU and your baby’s needs, the better equipped you’ll be to provide the best care for them.

We extend our support by helping you to prepare yourself and your home for when your baby is released from the hospital. After your baby is home, our care managers continue to provide education and assistance in improving your baby’s health, preventing unnecessary hospital readmissions, and guiding you to community resources if needed.

The NICU can be a stressful place, bringing unique challenges and concerns you may have never imagined. The anxiety and stress related to having a baby in the NICU can potentially lead to symptoms of post-traumatic stress disorder (PTSD) in parents and caregivers. To reduce the impact of PTSD among our members, we assist by:

Helping you engage with hospital-based support programs
Facilitating screenings for potential PTSD
Connecting you with behavioral health program resources and community support as needed
Actively asking for your feedback on the provided resources and how an increased awareness of PTSD has helped you

If you have a baby in the NICU, a NICU Case Manager may reach out to you. You can also speak to a NICU Case Manager if you need help, just call and request a referral to NICU Case Management.