stream As illustrated in Figure 1, of the 41 respondents, 24 states and DC had adopted the ACA Medicaid expansion as of July 1, 2015. Medicaid reimburses licensed birth centers and midwives that provide obstetrical services for pregnant women with low-medical risk pregnancies. Throughout the report, DC is counted as a state, totaling 41 respondents. The Family Maternity Center of the Northern Neck was endobj The ACA broadened Medicaid eligibility by allowing states to extend continuous Medicaid eligibility in 2014 to individuals with family income at or below 138% FPL and 31 states and the District of Columbia (DC) have adopted Medicaid expansion programs which extended coverage for new mothers beyond the postpartum period, where historically many women lost coverage. Most, but not all, of the 41 surveyed states report that they cover basic prenatal services such as ultrasounds and vitamins, prenatal genetic testing, home visits, delivery in birth centers, postpartum visits, and breast pumps for nursing mothers. U.S. Coronavirus Cases (12/7): 14.949 million, Medicaid Coverage of Pregnancy and Perinatal Benefits: Results from a…, KFF Health Tracking Poll – October 2020: The Future of the ACA and Biden’s Advantage On Health Care, In Their Own Voices: Low-income Women and Their Health Providers in Three Communities Talk about Access to Care, Reproductive Health, and Immigration, Table 1: Summary Results on Coverage of Selected Perinatal Services, AR, CA, CO, CT, DC, DE, GA, HI, IA, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, NH, NV, NY, OH, OK, OR, SC, TN, TX, VA, VT, WA, Chronic Villus Sampling and Amniocentesis (38/41 states), AK, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, NH, NM, NV, NY, OH, OK, OR, SC, TN, TX, VA, VT, WA, WV, AK, AL, AR, AZ, CA, CO, DC, DE, GA, IA, ID, IL, IN, KY, MA, ME, MN, MO, MS, MT, NC, NE, NM, NV, NY, OH, OK, OR, TN, TX, VA, VT, WA, WV, WY, Substance Alcohol Abuse Treatment (40/41 states), AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NM, NV, NY, OH, OK, OR, SC, TN, TX, VA, VT, WA, WV, WY, Prenatal and Postpartum Home Visits (30/41 states), AK, AR, CA, CT, DC, DE, GA, IA, ID, IL, IN, MA, MI, MN, MO, MS, MT, NC, NE, NH, NM, NY, OH, OK, OR, SC, VA, VT, WA, WV, Childbirth Education Classes (14/41states), AR, CA, DC, DE, GA, HI, MI, MN, MS, NC, OH, OR, VA, WA, Infant Care/ Parenting Education (17/41 states), AL, AR, CA, DC, DE, GA, HI, KY, MI, MN, MS, NM, NV, OH, OR, VA, WA, AK, AL, AZ, CA, CO, CT, DC, DE, GA, IA, IL, IN, KY, MA, MD, MN, MO, MT, NC, NE, NH, NM, NV, NY, OH, OK, OR, SC, TN, TX, WA, WV, AK, AZ, CA, CO, CT, IA, ID, IL, MD, MO, NH, NM, NY, OH, OR, SC, TX, VA, VT, WA, WV, AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, NE, NH, NM, NV, NY, OH, OK, OR, SC, TN, TX, VA, VT, WA, WV, WY, AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, ID, IN, MA, MI, MN, MO, MS, NC, NV, NY, OH, OK, OR, SC, TN, VA, Electric Breast Pumps in Traditional Medicaid Program (35/41 states), AK, AZ, CA, CO, CT, DC, DE, GA, HI, ID, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NE, NH, NM, NY, OH, OK, OR, TN, TX, VA, VT, WA, WV, WY, Lactation Consultation in Hospital (26/41 states), AK, AR, AZ, CA, CO, CT, DC, DE, HI, ID, IN, KY, MI, MN, MO, MS, NC, NE, NY, OH, OK, OR, SC, TN, VA, WA, Lactation Consultation in clinic and/or at home (16/41 states), AR, CA, CO*, CT, DC, DE, HI, MN, MS, NC*, NY, OH, OK*, OR, VA*, WA*. Be aware: Some hospitals call their labor and delivery department a “birth center.” Your local birth center will assist you in determining what your health plan will cover. States are required to cover breast pumps and consultation services for Medicaid expansion beneficiaries under the ACA’s preventive services requirement. While the ACA also does not define maternity benefits, states that have expanded Medicaid eligibility under the ACA must cover all preventive services recommended by the United States Preventive Services Task Force (USPSTF) for beneficiaries that qualify as a result of the ACA expansion. You will choose a health plan that covers your zip code area. Medicaid also covers many optional services as well. The Commonwealth has expressed an interest in BCs for some time. Q. Prescriptions. I live in Virginia--hampton roads area, and as far as I know there are no hopsitals in this area with birthing centers. According to CNN, the number of babies born in U.S. birthing centers increased 55 percent from 2007 to 2015. Some states reported that in fact, they do not distinguish between the traditional full-scope Medicaid and pregnancy eligibility pathways in terms of the covered benefits. Because private insurance companies follow Medicaid’s lead when developing reimbursement polices, all women, not just those covered by Medicaid, are at risk for losing access to birth centers. This report is the only one we know of that has examined Medicaid benefits for maternity care since the ACA’s passage. Routine prenatal care encompasses a variety of services, including provider counseling, assessment of fetal development, genetic screening and testing, prenatal vitamins that contain folic acid and other nutrients, and ultrasounds, which provide important information about the progress of the pregnancy. Some insurance companies don’t cover births at a birthing center. Medicaid, however, does not cover 100% of birth center charges. I live in Georgia so I’m trying to check all my bases before I start looking at hospitals to deliver at. The page could not be loaded. Medicaid covers approximately half of all births in the United States, with the percent ranging from 20 to over 60 percent among states. The Texas Birthing Center Licensing Act was first enacted in 1985 by the 69th Legislature. These now include many pregnancy-related services, such as prenatal screenings, folic acid supplements, and breastfeeding supports for those who qualify for Medicaid as a result of the expansion. Published: Apr 27, 2017, Maternity care has emerged as a key issue in the current policy debates about the future of the Affordable Care Act (ACA) and Medicaid restructuring. All Medicaid recipients who meet the following criteria may receive birth center and midwife … There are a variety of support services that can aid pregnant and postpartum women with pregnancy, delivery, and child rearing and improve birth outcomes. While the inclusion of maternity care as an essential health benefit has been important to many women who gained private coverage because of the ACA coverage expansion, Medicaid has been the primary funding source for perinatal and maternal services for low-income women in the US for several decades. Birth-related expenditures represent the highest percentage of health insurance claims to both private insurance and Medicaid†. Standard Healthcare Services. The survey questions covered four broad topics: prenatal services, counseling and support services, delivery and postpartum care, and breastfeeding services. Figure 1: State Medicaid Eligibility Pathways for Women, as of July 1, 2015. 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