First Steps Maternity Support Services and Infant Case Management

Provider guides 

• Maternity Support Services/Infant Case Management billing guides and fee schedules

Provider forms

• Maternity Support Services limitation extension request - Prenatal (13-884)
• Maternity Support Services limitation extension request - Post Pregnancy (13-0170)
• Maternity Support Services prenatal screening tool (13-874)
• Maternity Support Services post pregnancy screening tool (13-873)
• Infant Case Management screening tool PDF | Word (13-658)
• Infant Case Management limitation extension request (13-0018)

Maternity Support Services tool kit

Online screening resources

Contact the MSS program manager for questions about the MSS Screening Tool through Secure Access Washington (SAW).

• Video tutorial for submitting MSS screenings online
• Slide deck of instructions for submitting MSS screenings online

Screening guide samples

• Prenatal screening guide
• Post pregnancy screening guide

Risk factor definitions and outcome measurements

• Prenatal targeted risk factor matrix
• Post pregnancy targeted risk factor matrix

Risk factor clarification tables

• Prenatal clarifications
• Post pregnancy clarifications

Example charting/documentation forms

• Unit tracking log
• Care plan example

Resources

• Reproductive health data and reports
• First Steps flyer (19-500)
• Infant Case Management (ICM) newborn eligibility calendar for non-leap years
• Infant Case Management (ICM) newborn eligibility calendar for leap years
• Body mass index table
• Tips for successful limitation extension request (LERs)

Provider tools

• Parents and Families - Services and Resources
• Tobacco Cessation Resources for Health Care Providers