5006 – Multidisciplinary Care to Address the Opioid Epidemic in Medicaid Managed Care for Women and Neonates
More than 180,000 infants yearly are born with Neonatal Abstinence Syndrome (NAS). These infants require longer hospitalizations and multidisciplinary interventions during the withdrawal period. The Highmark Health Options (HHO) MOM Options Program manages this complex member population, addressing the medical and behavioral needs of the opioid-addicted mother while keeping a focus towards healthy delivery and orchestrated care for the infant in the neonatal period through the first year. While the historic trend in maternal opioid-addiction has been punitive, separating mom and baby, here in Delaware there has been a shift to a therapeutic approach.The approach, supported by the AAP and the March of Dimes, recognizes the benefits and improved outcomes in keeping mom and baby together. Working with the Division of Family Services, HHO MOM Options has designed a care model that keeps mom and baby safe and together with the intention to break the cycle of addiction.This team consists of Care Coordinators – nurses and social workers reaching our maternity population as early in the antenatal period as possible, engaging them in Care Coordination, and identifying those with drug addiction.The care model includes medical/behavioral care coordination, alignment with providers(obstetricians, substance treatment providers, and community/state agencies), prenatal and postpartum education, monetary incentive for prenatal care, and an individualized Safety Plan put into place postpartum.Since this approach started in Delaware in Jan 2018, there have been positive outcomes.In addition to the interventions, HHO is assessing the maternity population’s Social Determinants of Health (SDOH). Many health outcomes are directly related to SDOH including housing, employment, food security, and transportation.By addressing SDOH in this population with the therapeutic care model, HHO is improving health outcomes for a high-risk and fragile population.
1. Describe the multidisciplinary and collaborative approach with community and state agencies to address the needs of the maternal substance use and NAS population including Safety Planning.
2. Define the impact of Social Determinants of Health (SDOH) on health outcomes for this population.
3. Provide a detailed overview of the Highmark Health Options Mom Options Program.