Notification of Pregnancy
Once you have identified a Home State member is pregnant, please complete the Notification of Pregnancy. This should be submitted at the first prenatal visit.
You may submit a Notification of Pregnancy via the MHD NOP and Risk Screening Portal - Pregnancy Notification.
Our Care Management Program
The OB CM Team will offer each pregnant member the Start Smart for Your Baby® Program (Start Smart), which incorporates case management, care coordination, and disease management with the aim of decreasing preterm delivery and improving the health of moms and their babies.
The Start Smart Program:
- Is a unique perinatal program that follows members who are pregnant or postpartum for up to one year after delivery and includes neonates and qualified children up to one year of age.
- Goals are improving maternal and child health outcomes by providing pregnancy and parenting education and care management services to all pregnant members through the postpartum period and infants through the first year of life.
- Care Managers have experience in both Obstetrics (OB) and Neonatal Intensive Care Unit (NICU) settings and will provide support until care management services are no longer needed. In the event that the newborn requires an extended stay in the NICU, the newborn will be followed by an experienced NICU care manager.
To refer a member simply contact the Care Management team directly at 855-694-4633 ext. 6075125 or use the Referral Note pad below to send a referral directly to our team for outreach.
(Printable) Care Management Assistance Form (PDF)
Care Management Assistance Form
Maternity Benefits and Member Supports
Home State would like the opportunity to partner with you to support our members and address community needs and priorities.
Below details some of the additional benefits/programs that are available to our members. If you would like to learn more or refer a member to any of the below programs/resources please reach out to 855-694-4663 or email HSHPCareManagement@Centene.com.
- Dental Services administered through Centene Dental
- Vision Services administered through Centene Vision
- Safelink Wireless Cell phone- Members are eligible to apply for a Safelink wireless services. Apply today at Safelink.
- Belly bands are ordered through the care management team after member engages in care management.
- Breast pump program- Members can receive a breast pump anytime during the 3rd trimester of pregnancy. A breast pump can be ordered through any in-network DME vendor, including but not limited to, Aeroflow and Tenderheart .
- Blood pressure monitors - if a blood pressure monitor is needed, please send a prescription to an in-network DME vendor.
- Same day non-emergency medical transportation through MTM to include trips to PCP, Specialists, OB/GYN, and dental visits. To book a ride online go to MTM or call 888-597-1189.
- Circumcision (newborns)
- Asthma Waves Program: Education to support better management of asthma. Members will receive a hypoallergenic mattress/pillowcase cover, peak flow meter, and spacer.
- Mom's Meals®: Members may be able to receive up to 30 days of home-delivered meals from Mom's Meals after having a baby and being discharged from the hospital. Members who did not recently give birth may also qualify if a health condition makes it difficult to prepare or access food.
- Referrals to various community programs/resources:
- WIC: Women, Infants and Children is a nutrition program for families that offers food support along with referrals to healthcare, immunizations and community services. Women, Infants and Children (WIC) | Health & Senior Services (mo.gov)
- Nurse-Family Partnership - Helping First-Time Parents Succeed: Families develop a close relationship with a nurse who advises and supports them through a healthy pregnancy to raising a healthy child.
- Parents as Teachers: Family personal visits help increase parent knowledge, identify potential child health and developmental concerns, and connect families to community resources.
- MO Tobacco Quitline - The Missouri Tobacco Quitline provides free, confidential smoking cessation support from trained quit coaches, including counseling and personalized quit plans. Call 1-800-QUIT-Now or go to https://www.youcanquit.org
- Mental Health Digital: Online tool that helps support and strengthen mental health and emotional health. Can be accessed through Teladoc app.
- Teladoc: Virtual care and support for both physical and behavioral health conditions.
- Care Managers will perform Edinburgh assessments every trimester and within the post-partum period to help identify symptoms of depression or anxiety and will refer to in-network behavioral health providers and community supports as necessary.
- Perinatal Psychiatric Consult Line offered through the Postpartum Support International is available for medical professionals who are prescribers and have questions about mental health care as it relates to pregnant and postpartum patients and pre-conception planning.
- HALO: The Health Assistance, Linkage & Outreach program uses evidence-based care and a predictive model to treat members with an opioid use disorder.
- Puff-Free Pregnancy: The Puff-Free Pregnancy program offers structured tobacco cessation health coaching sessions designed to support smoking cessation during pregnancy.
- Comprehensive Substance Treatment and Rehabilitation Referrals: provides services to individuals assessed as needing treatment for alcohol or substance use disorders.
- Educational Resources to support Opioid Addiction/ Disorder: Opioid Toolkit | Home State Health
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For questions regarding prescription coverage contact Pharmacy Administration Unit at (573) 751-6363 or email MHD.PharmacyAdmin@dss.mo.gov.
The MO Healthnet Pharmacy Program oversees reimbursement for outpatient, fee-for-service prescription drugs and devices.
Over the Counter Medication Coverage
- Some OTC medications are covered Comprehensive list of covered medications (PDF)
Diabetes Supplies
- Diabetic supplies are covered by MO Healthnet pharmacy program. List of covered supplies
Family Planning Services
- Covered under the pharmacy benefit. Information can be found on page 33 of the Pharmacy Provider Manual | mydss.mo.gov
- Coverage includes: long-acting reversible contraception (LARC) devices including IUDs and birth control implants, oral contraception, transdermal patches, long-acting intermuscular injections, vaginal rings. diaphragms, and cervical caps. Condoms, devices, or supplies available as non-prescribed OTC products are not covered.
- ACOG Guidelines: Postpartum Birth Control | ACOG
The MO Healthnet Pharmacy Program oversees reimbursement for vaccinations.
Maternal Vaccinations:
- Flu
- Pneumonia
- DTAP
- Coronavirus:
Vaccinations for Newborns:
Home State participating providers who administer vaccines must enroll in the VFC program through the DHSS. Participating providers must utilize the VFC program for Home State members. An administration fee is reimbursable to providers. More information can be found in the HSH - SMHK - Provider Reference Manual
Maternal and Pediatric RSV prevention/vaccine:
CONTACT INFORMATION
Home State Health Provider / Member Services
- 1-855-694-HOME (4663) (TTY: 711)
- Monday - Friday, 8:00am to 5:00pm Central Time
- Contact Home State Health Member Services
Show Me Healthy Kids Provider / Member Services
- 1-877-236-1020 (TTY: 711)
- Monday - Friday, 8:00am to 5:00pm Central Time