Tag - pregnant

Texas Children’s Health Plan partners with Baylor College of Medicine to address and prevent opioid abuse in perinatal populations

Women of childbearing age have been disproportionately impacted by the opioid epidemic. Consequently, the rates of in utero drug exposure and Neonatal Abstinence Syndrome have increased dramatically over the last decade.  In Texas, overdose is the leading cause of maternal death in the first postpartum year. To prevent and respond to these issues, faculty from Baylor College of Medicine and Texas Children’s Health Plan were recently awarded funding from the Office of National Drug Control Policy’s grant program entitled Combating [...]

Texas Children’s Health Plan partners with Baylor College of Medicine to address and prevent opioid abuse in perinatal populations

Women of childbearing age have been disproportionately impacted by the opioid epidemic. Consequently, the rates of in utero drug exposure and Neonatal Abstinence Syndrome have increased dramatically over the last decade.  In Texas, overdose is the leading cause of maternal death in the first postpartum year. To prevent and respond to these issues, faculty from Baylor College of Medicine and Texas Children’s Health Plan were recently awarded funding from the Office of National Drug Control Policy’s grant program entitled Combating [...]

Breaking Reminder: Syphilis Screening Urged for All Pregnant Women

The number of congenital syphilis cases is rising at an alarming rate.  From 2012-2016 the rate of congenital syphilis increased by 87% (from 8.4 to 15.7 cases per 100,000 live births).1   According to historical data, up to 40% of pregnancies with untreated syphilis will result in miscarriage, stillbirth, or infant death.  And those infants who live are at risk for skeletal abnormalities; hepatosplenomegaly; jaundice; anemia; and other complications which can cause developmental delays and seizures.2   Given that congenital syphilis [...]

Cesarean Delivery

This article presents new research and strategies to safely reduce the rate of primary Cesarean delivery. One out of three deliveries is by Cesarean.  In certain situations, Cesarean can be life-saving for both mother and baby.  But Cesarean deliveries aslo carry greater risks for mothers—research has shown that women who deliver their first baby by cesarean are more likely to need blood transfusions and be admitted to the ICU than women who have a vaginal delivery.  In addition, after that [...]

Provider Alert! Preventing Pre-Term Pregnancies

To: All Providers Subject: Effective September 1, 2015 all Progesterone therapy will require a pre-authorization from Texas Children’s Health Plan. Claims billed using the branded Makena will no longer require a U1 modifier. Pre-authorized use of Makena (hydroxyprogesterone caproate injection) will need to be submitted as J1725 with the appropriate NDC information as required on all claims. Claims billed using the compounded 17-P therapy will now require the U1 modifier. Pre-authorized use of 17-P will need to be submitted as J1725 with [...]