


Ophelia Maternal Care is a dedicated clinical program for pregnant and postpartum patients managing opioid use disorder (OUD).
✓ Fully virtual
✓ Covered by Medicaid
✓ Advocacy support
✓ Care through the full postpartum period, including postpartum psychiatric syndromes
Pregnant patients with opioid use disorder face a system that was never built for them. The clinical consensus is unambiguous: medications for opioid use disorder (MOUD), specifically buprenorphine, significantly reduces maternal overdose, preterm birth, and neonatal complications, including Neonatal Opioid Withdrawal Syndrome (NOWS). Yet most pregnant patients with OUD go untreated, because access, stigma, and fragmented care keep them from the treatment they need.
Ophelia Maternal Care was built to close that gap: a specialized clinical team, ACOG-based protocols for medication management during pregnancy, and a fully virtual model that removes the barriers keeping patients from care.

For payors and MCOs managing pregnant patients with OUD, untreated opioid use disorder generates two compounding cost categories: the acute pregnancy itself, and the downstream costs that follow, including Neonatal Opioid Withdrawal Syndrome (NOWS)-related NICU admissions that can exceed tens of thousands of dollars per case. Ophelia's outcomes data, drawn from a broad Medicaid population, shows measurable reductions across every major cost driver for patients receiving medication treatment.
Of pregnant patients screen positive for buprenorphine and 0% for opioids
of patients in program 30+ days have a BARC-10 score associated with long-term remission
of new pregnant patients remain in care today
Ophelia Maternal Care vs. traditional opioid use disorder treatment programs for pregnant patients
Ophelia Maternal Care: 100% virtual, 7 days a week
Traditional OUD Program: In-person, geographic radius required
Ophelia Maternal Care: ACOG-based pregnancy-specific protocols, required for all clinicians
Traditional OUD Program: General OUD protocols adapted for pregnant patients
Ophelia Maternal Care: Women's Health NPs (WHNPs) on staff
Traditional OUD Program: General prescribers
Ophelia Maternal Care: Full postpartum continuum: PPD screening, birth control planning, lactation support
Traditional OUD Program: Often ends at delivery
Ophelia Maternal Care: 75.5% IET, 62.2% POD — more than double national averages
Traditional OUD Program: Industry avg: 32% IET, 26% POD (Medicaid)
Ophelia Maternal Care: Custom referral link per health plan. Welcome call same day. Monthly partner report.
Traditional OUD Program: Phone call, fax, or complex intake process
Ophelia Maternal Care: 50% of maternity patients have active SDOH challenges; screened and managed in-program
Traditional OUD Program: Limited or referred out
Ophelia Maternal Care: Simple PMPM structure. Standard model + maternity program covered. No separate billing.
Traditional OUD Program: Fee-for-service, visit-based
Reduction in total cost of care while in treatment
Reduction in ED visits
Reduction in inpatient mental health costs
Data are from a single Medicaid MCO in New York, including over 1,000 Ophelia patients from 2021-2023
If you're an OB, midwife, or clinical partner looking to connect pregnant patients with specialized opioid use disorder treatment, or a Managed Care Organization (MCO) or Medicaid agency evaluating solutions for opioid use disorder in pregnancy, reach out.
