Professional Resource

Text4baby and Soonercare Implementation Recognized as Emerging Practice for Maternal and Child Health

Sep 15, 2016

Association of Maternal & Child Health Programs now includes Oklahoma’s partnership with Text4baby in its Innovation Station.

States across the nation can now learn more about Text4baby’s and SoonerCare’s implementation in the Association of Maternal & Child Health Program’s Innovation Station.

AMCHP’s Innovation Station is a searchable database of emerging, promising and best practices in maternal and child health. The database allows users to learn more about MCH programs throughout the United States and to benefit from the lessons learned by their peers. By including the SoonerCare and Text4baby implementation in the database, it is hoped that additional states will replicate the partnership.

How the Program Works

Text4baby is the nation’s largest and only free mobile health messaging service for pregnant women and mothers with infants under age one. The Oklahoma Health Care Authority is the single state agency that administers SoonerCare, the state’s Medicaid program.

The project began by implementing innovative outreach and promotional efforts to reach pregnant SoonerCare members. In October 2014, OHCA became the first and only state Medicaid agency to implement an automatic notification process for its members to easily opt in to receive Text4baby messages. The new process was achieved as a result of a Data Use Agreement between OHCA and Voxiva, the technology company that co-operates Text4baby with ZERO TO THREE. Shortly after the process went into effect, Oklahoma set a new national record for Text4baby enrollment. The state now leads the nation in Text4baby enrollments per 1,000 live births.

Text4baby content was updated to include Oklahoma-specific information, making it easier for SoonerCare members to connect with these vital programs and resources.

Partners in Success

Text4baby’s impact was assessed on improving health quality measures including postpartum visits and smoking cessation during pregnancy. • Among respondents to 10-month survey in 2015, 83 percent of Text4baby SoonerCare participants reported attending their postpartum visit – higher than the state average for those not enrolled. • Initial findings also indicate Text4baby is a potentially effective and more efficient strategy for reaching and enrolling pregnant smokers into treatment programs, compared to multi-pronged efforts requiring higher levels of effort and resources.

OHCA is now working to fully automate enrollment into Text4baby by adding consent language to the online SoonerCare enrollment application. Once that update is implemented, eligible SoonerCare members will be automatically enrolled in Text4baby.

The project was a collaborative effort among OHCA, the Centers for Medicare and Medicaid Services, ZERO TO THREE, Voxiva and more than 15 partner agencies across the state of Oklahoma.