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Right Start Prenatal Program Transition for 2023

August 17, 2022

To: OBGYNs and PCPs

Beginning January 1, 2023, Right Start prenatal and home visiting programs for high-risk pregnancies will no longer be continuing for your Highmark Blue Shield of Northeastern New York patients.

Your Highmark BSNENY patients that are enrolled in Right Start and still need support into 2023 will be transitioned into our High-Risk Maternity Specialty Case Management program.

High-Risk Maternity Specialty Case Management is available for patients who have a history of high-risk pregnancy or may be at higher risk for complications secondary to fertility planning and treatments, or other comorbidities such as:

  • Asthma
  • Diabetes
  • Hypertension
  • Depression
  • Social determinants of health (SDoH) needs

The High-Risk Maternity Specialty Case Management program provides your patients with support throughout their pregnancy as well as postpartum. Patients are screened and referrals can be made to internal behavioral health specialists for postpartum depression if needed. Support is also provided by our Social Work and Wellness teams for pregnancy nutrition and identified SDoH needs.

To refer your patients to the program after January 1, 2023:

  • Log into NaviNet® and access Plan Central
  • Click the Case Management Referral and Inquiry link under Workflows for this Plan to go to the Clinical Care & Wellness Page (CC&W)
  • Click the Create New Referral button under Submit New Referral to CC&W
  • Follow the steps to create and submit the referral

Your patients can also self-enroll into any of our clinical programs by calling the member services number on the back of their member ID card to request case management services.

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