Maternal Child Services

New Baby, New Life^_SM

The New Baby, New Life^SM program is a comprehensive proactive care management and care coordination program for all expectant mothers and their newborns. It offers:

Individualized, one-on-one care 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 care management services to mitigate risk.

If you would like more information about the OB Care Management program or have a patient who would benefit from care management, call Provider Services at 844-912-1226.

Pregnancy resources

Pregnancy Risk Assessment Form (PRAF)

Anthem Blue Cross and Blue Shield (Anthem) encourages notification of pregnancy after the first prenatal visit using Ohio’s Pregnancy Risk Assessment Form (PRAF). The PRAF may be completed using the state’s web portal, NurtureOhio, or via paper fax. For detailed instructions on using the PRAF and for non-OB providers to complete the Report of Pregnancy (ROP), visit the state’s website.

PRAF instructions

PRAF 2.0 Provider User Manual

The PRAF 2.0 Provider User Manual can assist you in setting up access for your staff and assigning the prenatal visit role needed to access the PRAF 2.0 and provides step-by-step instructions for completing the PRAF 2.0.

Access PRAF 2.0 Provider User Manual

Electronic Pregnancy Risk Assessment Form (ePRAF)

Quality Enhancer Incentive Program for ePRAF

Technical Assistance Intervention Package for ePRAF

Notification of delivery

Anthem requires notification of delivery following birth. Please send newborn and birth clinical data along with authorization requests through Availity or faxed to National Customer Care (NCC) at 800-964-3627.

Preventing preterm birth

Anthem encourages the prevention of preterm birth through the use of progesterone treatment. For more information and best practices, visit the Ohio Perinatal Quality Collaborative, and the Ohio Department of Health's progesterone-messaging toolkit.

Additional resources

NurtureOhio

ODH progesterone-messaging toolkit

Ohio Perinatal Quality Collaborative

Neonatal Intensive Care Unit (NICU) Care Management

The NICU care management program provides education and support designed to help parents cope with the day-to-day stress of having a baby in the NICU. Parents are provided with education and resources that outline successful strategies they may use to collaborate with the baby’s NICU care team while inpatient. Once discharged, NICU care managers continue to educate and support the family to foster improved outcomes, prevent unnecessary hospital readmissions, and ensure efficient community resource consumption as needed.

NICU post-traumatic stress assistance

The stress of having an infant in the NICU can potentially result in post-traumatic stress disorder (PTSD) symptoms among parents and loved ones. To help reduce the impact of PTSD among members, we assist by:

Guiding parent(s) into hospital-based support programs, if available
Screening parent(s) for PTSD approximately one month after the date of birth
Referring parent(s) to behavioral health program resources, if indicated
Reconnecting with families with a one-month follow-up call to assess if the parent(s) received benefit from initial contact and PTSD awareness

If you have a member in your care that would benefit from NICU care management, call us at 844-912-1226 (TTY: 711). Members can also call our 24/7 NurseLine at 844-430-0341.

If a patient would benefit from care management, call 844-912-1226

Fax forms to Anthem Blue Cross and Blue Shield 877-881-1831

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 process are to identify, treat, and/or refer to treatment women who are using/abusing unhealthy substances. Anthem is here to support providers, pregnant members, and their little ones on the way.

If you would like more information about the OB Care Management program or have a patient who would benefit from care management, call Provider Services at 844-912-1226.