Pregnancy

BMC HealthNet Plan is proud to offer programs and support for expecting parents.

Member Interventions

Our Sunny Start! program provides education and support to help moms and babies get the care they need before, during, and after birth. This Care Management program provides:

Customized care planning by our care coordinators for low risk pregnancies or our registered nurses for moderate or high risk pregnancies
Access to a registered nurse skilled in obstetrics and newborn care for any needs relating to safe and healthy pregnancies
Free car seats and diapers for qualifying MassHealth members
Childbirth education classes to help prevent preterm labor and delivery
Postpartum reminder calls and newborn care information
Help finding community resources like WIC, housing, legal assistance, shelter, clothing

Postpartum Depression Screening Requirements

Postpartum Depression Screening

Health care providers are now required to annually submit data on screening for postpartum depression. Annual reporting is required by a provider that conducts or oversees screening for postpartum depression using a validated screening tool, during a routine clinical appointment in which medical services are provided to a woman who has given birth within the previous six months.

Providers Impacted by the Regulation

The providers responsible for adhering to these regulations are OB-GYNs, Family Medicine Practitioners, Advanced Practice Nurses including Nurse Midwives and Nurse Practitioners, and Physician Assistants, who practice in a family medicine/OBGYN setting.

Resources

Screening Regulations	Learn more about the regulations on screening for postpartum depression
Reporting Form	You or your provider organization must complete and submit this form by no later than March 1 for the previous calendar year unless you fall within the exception to the rule for direct reporting to the Massachusetts Department of Public Health (MDPH).
Screening Grid	Postpartum depression screening tool provided by MDPH.

Refer Patient to Care Management

Call us at 866-853-5241 or complete the appropriate form to refer a patient to a Care Management program. Our care management staff will evaluate the member and enroll him/her in the most appropriate program based on condition, severity of illness and individual needs.

Refer a SCO Member

Refer An ACO Member

Refer a MCO Member

Refer a QHP Member

Clinical Practice Guidelines

BMC HealthNet Plan adopts, endorses and implements these evidence-based guidelines from national sources, professional organizations, or developed by regional collaborative groups. Guidelines serve as a means of establishing standards among medical and behavioral health providers to improve health outcomes. They are not intended to replace clinical judgment.

Perinatal Guidelines (MHQP)