Harvard Pilgrim is partnering with ProgenyHealth, which specializes in neonatal care management services for the first year of life, to promote healthy outcomes for newborns who are premature and have medically complex cases. Beginning June 1, 2019, ProgenyHealth’s neonatologists, pediatricians, and neonatal nurse case managers will work closely with neonatal intensive care unit (NICU) physicians, nurses, and facilities to perform care management, review of level of care, and discharge planning for babies receiving NICU care. This program applies for members of our commercial products.
There is no change in the NICU notification process for providers; please continue to notify Harvard Pilgrim of all non-routine newborn care (Level II-IV), including all NICU admissions, as outlined in our Non-Routine Newborn Care NICU Admission Notification Policy. If the infant does not have an active member ID, you may provide notification to Harvard Pilgrim’s Referral/Authorization Unit by phone (800-708-4414) or fax (800-232-0816). If the child does have a Harvard Pilgrim member ID, electronic notification through HPHConnect or NEHEN is another option.
After receiving notification, Harvard Pilgrim will inform ProgenyHealth, and their clinical staff will contact the appropriate staff at the NICU facility. Harvard Pilgrim will be mailing information about the program to contracted facilities with NICUs in the next month.
This program takes a collaborative approach with care providers, working with NICU physicians and nurses to share best practices and achieve the best possible outcomes. ProgenyHealth will serve as a liaison for Harvard Pilgrim, providing inpatient review services and assisting with the discharge planning process to ensure a smooth transition to the home setting.
In addition, ProgenyHealth offers services to families including a dedicated case manager to support them, as well as access to an extensive online information library and an on-call staff member available 24 hours a day/7 days a week.
Additional information about ProgenyHealth’s services is available at www.progenyhealth.com.