Indiana Pregnancy Promise Program

The goal of the Pregnancy Promise Program is for parents and babies to be healthy and together.

Individuals who participate in the Pregnancy Promise Program will receive free, confidential support and will be assigned a Pregnancy Promise Program case manager. Case managers will support the pregnant individual before, during and for a year after the end of the pregnancy. Pregnancy Promise Program case managers ensure parents and infants are connected with resources such as health care, food, housing, parenting education (and more) to be healthy and well.

The Indiana Pregnancy Promise Program recognizes the best support for pregnant parents and families requires teamwork. Pregnancy Promise Program case managers will support families by coordinating care between, primary care physicians, OB/Gyn providers, mental health providers, OUD treatment providers, pediatricians and certified peer recovery specialists, as well as other community-based programs and professionals important to each family.

By connecting pregnant individuals with health care, mental health care and treatment as early as possible, the Pregnancy Promise Program aims to reduce and prevent the negative impacts OUD have on the parent and child.

Am I eligible for the Pregnancy Promise Program?

The Indiana Pregnancy Promise Program is a free, voluntary program for individuals who meet the following criteria:

• Pregnant or within the 90 days of the end of pregnancy
• Identify as having current or previous opioid use
• Eligible for or receive Medicaid health coverage

How do I enroll?

Request contact information for a Pregnancy Promise Program case manager, please email pregnancypromise@fssa.in.gov.

Stories of Hope. Recovery is Possible.

Many individuals are experiencing recovery and are excited to tell their stories of success. Here are stories of hope from people who have found help through programs like the Pregnancy Promise Program.

• Know the Facts
• Substance use during pregnancy
• Residential treatment for mothers and their children

Frequently Asked Questions

• taking the medicine in a way or dose other than prescribed
• taking someone else's prescription medicine
• taking the medicine for the effect it causes-to get high

Yes, pregnant individuals with current or past opioid use can participate in the Pregnancy Promise Program. This includes individuals with or without a diagnosis of opioid use disorder.

The Indiana Pregnancy Promise Program provides each participant with a specially trained Pregnancy Promise Program case manager from the one of the state’s Medicaid managed care health plans. The Pregnancy Promise Program case manager provides care coordination and teamwork across all the professionals who care for a pregnant individual with opioid use disorder, including health care, mental health care, treatment providers and social services. The Pregnancy Promise Program case manager will meet regularly with the pregnant individual by phone or in person to provide resources and supports to the participant of the program from enrollment through 12 months postpartum. Participants of the Pregnancy Promise Program have the benefit of working with the same Pregnancy Promise Program case manager throughout the duration of enrollment. The Pregnancy Promise Program aims to ensure parents have resources (food, housing, clothing), medical care including physical and mental health care and OUD treatment services in place so that families can thrive together at home and in the community. By participating in the Pregnancy Promise Program, the goal is for parents and babies to be healthy and together . The Pregnancy Promise Program case managers work for Indiana’s manage care health plans: Anthem, CareSource, MDwise and MHS - https://www.in.gov/medicaid/members/170.htm

1. Identify - Doctor, provider, family, friend or self- identify pregnant individual with OUD
2. Check - for Medicaid eligibility or Medicaid coverage
3. Refer – Referral to Indiana Pregnancy Promise Program (self-refer or provider referral)
4. Consent - Participant signs consent to participate in Pregnancy Promise Program
5. Enrollment - Pregnancy Promise Program enrollment begins after consent is given
6. Initial assessments and screenings - completed with participant and case manager
7. Care plan development- with participant, case manager and other important people
8. Engagement – regular contact between participant and case manager during the prenatal and postpartum periods
9. Review of care plan, coordination of medical and other appointments, reassessment of needed supports and resources and referrals to community resources
10. Continued care coordination through 12 months postpartum for mother and infant, including postpartum follow-up care, pediatric care coordination
11. Transition and program exit - after 12 months postpartum, celebrate health and well-being of the individual and baby

No. Consent or denial to participate in the Pregnancy Promise Program will have no effect on Medicaid coverage. If you chose to decline participation, you will still be eligible for regular services through your managed care health plan.

The Pregnancy Promise Program case managers are knowledgeable about many topics and questions related to pregnancy, parenting, and substance use. The Pregnancy Promise Program case managers will help individuals navigate prenatal care and substance use disorder treatment including what to expect during prenatal visits and labor and delivery for both mother and infant. The Pregnancy Promise Program case manager can help parents identify beneficial family supports and community resources as well as programs and services available within the Department of Child Services.

• Covering Kids and Families - https://www.ckfindiana.org/
• Connecting Kids to Coverage - https://www.indianaruralhealth.org/services/connecting-kids-to-coverage-indiana/

If you need to visit a medical provider right away, you may receive short term coverage of health care services known as. To contact a PEPW enrollment broker please call 800-889-9949 or visit Indiana Medicaid Pregnant Women: https://www.in.gov/medicaid/members/219.htm

• Contact Indiana 211 for immediate needs such as food assistance, shelter, transportation assistance, and for residential substance use treatment ask about Open Beds https://in211.communityos.org/
• Find a Treatment Program. Indiana Division of Mental Health and Addiction Treatment Locator: https://www.in.gov/fssa/addiction/
  • If you an uninsured, treatment is still possible. If you need assistance, call the DMHA main phone number 317-232-7800
  • Indiana Recovery Network https://www.indianarecoverynetwork.org/
  • Regional Recovery Hubs- https://www.indianarecoverynetwork.org/regional-recovery-hubs/

  Please submit Pregnancy Promise Program referral form by clicking here . For pregnant individuals who have Medicaid coverage, contact and the Division of Family Resources to provide notification of your pregnancy. Pregnant individuals receive a special Medicaid package while pregnant and during the postpartum period to support prenatal and postpartum care. https://www.in.gov/fssa/dfr/about-dfr/contact-dfr/ If an individual is pregnant, enrolled in a Medicaid pregnancy category, and has been assigned to a health plan, the Pregnancy Promise Program case manager from the health plan will contact the individual to discuss the Pregnancy Promise Program and begin enrollment. Contact information for the Medicaid health plans (Anthem, CareSource, MDwise, MHS) https://www.in.gov/medicaid/members/170.htm

  The Indiana Perinatal Quality Improvement Collaborative definition of newborn withdrawal refers to a group of symptoms that are sometimes seen in a baby whose mother has taken certain drugs or medications during pregnancy. Newborn withdrawal may be referred to as NAS/NOWS. A range of symptoms may include irritability, high-pitched cry, poor sleep and uncoordinated sucking reflexes that can lead to poor feeding. Symptoms may begin anytime in the first two weeks of life and may last several days or weeks. (ACOG, 2017) The Pregnancy Promise Program will assure best practices are used to treat and reduce NAS/NOWS.

  • Methadone
  • Buprenorphine
  • Naltrexone (typically not recommended during pregnancy, consult physician)

  MAT and patient rights

  • SAMHSA produced a brochure designed to assist MAT patients and to educate and inform others. Under the Confidentiality Regulation, 42 Code of Regulations 2, personally identifiable health information relating to substance use and alcohol treatment must be handled with a higher degree of confidentiality than other medical information.
    • https://www.samhsa.gov/sites/default/files/programs_campaigns/medication_assisted/Know-Your-Rights-Brochure.pdf
    • https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&sid=b7e8d29be4a2b815c404988e29c06a3e&rgn=div5&view=text&node=42:1.0.1.1.2&idno=42
    • Indiana Medicaid provider directory
    • IHCP Provider Locator
    • IDOH MAT webpage
    • OB/MAT – CHOICE, Community Hospital Indianapolis, Anderson, Howard Co.
    • Eskenazi Health
    • Volunteer of America Fresh Start Recovery Center for mothers recovering from opioid and other drug addictions and their children
    • Learn more about Indiana Opioid Treatment Programs
    • Map of Indiana OTPs
    • Find a Community Mental Health Center near you
    • Find Indiana Recovery Network and Recovery Hubs, or be connected with a Peer Recovery Specialists
    • Find a local Syringe Exchange Program

    Yes, your Pregnancy Promise Program case manager will ask about any health-related social needs including your living situation, food, transportation, utilities, and safety needs. Based on individual responses, Pregnancy Promise Program case managers will connect families with appropriate resources.

    More resources

    • Postpartum Support International
    • CDC Hear Her Campaign
    • Indiana Medicaid Pregnant Women
    • Covering Kids and Families of Indiana
    • Nurse Family Partnership of Indiana
    • CDC Adverse Childhood Experiences
    • Mom's Heal Together
    • The Little Timmy Project
    • Count the Kicks
    • Healthy Tomorrow App
    • Path 4 You free family planning and resources
    • Housing Handbook of Help
    • DMHA Treatment Locator
    • My Healthy Baby

    Please contact the Pregnancy Promise Program with any questions or for more information:

    Email PregnancyPromise@fssa.in.gov or call 888-467-2717 or 317-234-5336

    This website is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $5,211,309 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government