This program is designed to help coordinate and assist in monitoring the delivery of health care services for eligible pregnant members who may be at high risk for pregnancy complications. An experienced high-risk Obstetrical Case Manager will help provide nursing support and related education throughout each pregnancy.

The Obstetrical Nurse Case Manager:

• contacts each member to request permission for enrollment into the program;
• contacts each member's obstetrical and/or maternal fetal medicine specialist to obtain clinical information and the plan of care for members who may be at high risk;
• facilitates the monitoring of the clinical progress of each member's pregnancy with follow-up calls to the physician(s);
• helps assist each member's physician(s) in obtaining required authorizations for services (when appropriate); and
• provides ongoing education and helps provide nursing support throughout each pregnancy and postpartum period (about six weeks following delivery).

If you need services, please speak with your treating physician and have him or her call the appropriate prior authorization number for assistance.

For more information, or to self-enroll in the High-Risk Maternity Case Management Program, please call 1-888-621-5894 and press prompt #2.

The High-Risk Maternity Case Management Program is another way we are Making Healthcare Work^®'.