The Medicaid program price range about 4 in 10 births within the U.S. Federal regulation calls for states to offer pregnancy-related Medicaid coverage via 60 days postpartum. After that length, some postpartum people might qualify for Medicaid via every other pathway, however others might lose protection, in particular in non-expansion states. To assist make stronger maternal well being and protection balance and to assist cope with racial disparities in maternal well being, a provision within the American Rescue Plan Act of 2021 provides states a new option to increase Medicaid postpartum protection to twelve months by means of a state plan modification (SPA). This new possibility took impact on April 1, 2022 and is to be had to states for 5 years. The Facilities for Medicare and Medicaid Products and services (CMS) launched guidance on December 7, 2021 on how states can enforce this new possibility.
Right through the COVID-19 public well being emergency (PHE), states will have to supply steady protection to Medicaid enrollees to be eligible for enhanced federal matching price range below the Households First Coronavirus Reaction Act. In consequence, postpartum protection has been continuous for the reason that get started of the coronavirus pandemic.
States that sought to enforce prolonged postpartum protection previous to April 1, 2022 have finished so via a section 1115 waiver or via the use of state price range. This web page tracks fresh state movements to enforce prolonged Medicaid postpartum protection, together with states that experience applied a 12-month postpartum extension, states which are making plans to enforce a 12-month extension, states with pending regulation to hunt federal approval via a SPA or 1115 waiver, and states that experience proposed or won popularity of a restricted protection extension.
Medicaid Postpartum Protection Extensions: Licensed and Pending State Motion as of August 9, 2023