PregnancyAging out

Nia

Nia, 18. In licensed care, Miami. Six months pregnant. Their case closes in the spring, a few weeks after their due date.

This is an illustrative account. Every detail is invented.

Age: 18
Care: Licensed care
Pregnancy: Six months
Case closes: In the springa few weeks after their due date

Said out loud

Nia's case closes a few weeks after their due date. That day, they stop being the state's responsibility and start being a parent. From one assessment and no profile, U Navigate told them four things: their coverage doesn't have to end, their baby is covered from day one, someone can visit their home starting now, and WIC can start now, not after the birth. A caseworker with forty cases might get to those. U Navigate got to them the first time Nia asked.

Full case

Situation

Nia is 18, in licensed care in Miami, six months pregnant, and finishing their senior year. Their case is set to close in the spring, a few weeks after their due date. They have Medicaid through the child welfare plan. They don't know if it follows them out the door, or what they need ready for a newborn.

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Why this case matters

This is the aging-out case, and there's a second person in it.

Everything Nia has today comes from being in care. The day their case closes, they become a former foster youth, a new parent and a Medicaid question, all at once. U Navigate carries the safety net across that line, from one assessment, before anyone fills in a form.

The feature they used

The assessment. Nia's profile is almost empty, on purpose.

Everything U Navigate knows about them came from one assessment. From that alone:

Coverage for their baby
From the day the baby is born.
Healthy Start
Someone comes to their home from now through the baby's first year.
Healthy Families
Longer-term support at home.
WIC
Starting now, not after the birth.

Then they asked Lexi the question keeping them up at night: does my Medicaid stop when my case closes? The answer: it doesn't have to. But don't assume it switches over by itself. Confirm it with your caseworker before your case closes.

What changed

Five weeks of Nia checking in with themselves, in the Wellbeing space
A note that says "talked to Ms. R about the spring, felt better after."
A few breathing sessions

Not a crisis. Sleep. School. Money. "The baby." It's theirs, and nobody sees it unless they choose to share it.

Their plan opens on one step: confirm Medicaid to 26 with their caseworker before their case closes.

The federal line

NYTD asks youth at 19 and 21 whether they've had a child.

It's on the survey because a pregnancy while aging out affects everything else the government tracks: housing, work and school. The support for Nia already exists, and it's federal. Former foster youth keep Medicaid to 26 under the Affordable Care Act. Florida adopted twelve months of coverage after birth. Home visiting is federally supported. A newborn is covered from day one under federal Medicaid rules. None of it needs a new program. It needs Nia to know on the day it matters, and to confirm it before their case closes, not after their coverage lapses. U Navigate's job here is the timing.

Honest note

The health assessment doesn't ask whether Nia is in school. So U Navigate can't yet see that extended foster care may fit them, and that could matter more than anything else here. The fix is small, and it's next.

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How their information is protected

They own it

Their account is theirs. U Navigate is not the state's system of record. Nothing is shared with a caseworker or anyone else unless they choose to share it.

The record can't be rewritten

Their Journey Record only grows. Entries can be added, never edited or deleted, by them or by us.

Every row is locked to them

A request for their data returns only their data, even if our own code has a bug.

What the AI is given, exactly

Lexi knows their first name and their state, so they don't have to repeat themselves. Their last name, email, phone, address, date of birth and account ID are never sent to an AI provider. An automated test breaks our build if that ever changes.

When they upload a document, the AI reads it

That's how Lexi summarizes a lease or finds a deadline on a form. The document and the summary are theirs. Neither is used to train anything.

No ads. No data sales. Ever.

During pilots

We don't accept HIPAA-covered data.