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CMS
Extends Medicaid Postpartum Coverage in New Jersey for Over 8,000 People
The
Centers for Medicare & Medicaid Services (CMS) announced today that an
estimated 8,700 postpartum New Jerseyans will be guaranteed to maintain
their Medicaid coverage for 12 months after the end of the pregnancy. This
important step will help New Jersey to provide pregnancy-related care with
the goal of preventing unnecessary postpartum-related illness and death.
Today’s announcement is part of the Biden-Harris Administration’s efforts
to address the nation’s crisis in pregnancy-related deaths and to improve
the health outcomes among underserved communities through access to
critical care.
“Becoming
a parent is among life’s greatest milestones, but sadly paired with
significant challenges for many in low-income communities,” said HHS
Secretary Xavier Becerra. “I applaud New Jersey for taking action to
provide vital care for new parents and their precious babies. Expanding
postpartum coverage will not only improve health outcomes among families of
color— it will save lives. The Biden-Harris Administration encourages
states across the country to follow New Jersey’s example to support healthy
parents and infants.”
“Our
country is facing a maternal health crisis, and it is disproportionately
harming people of color,” said CMS Administrator Chiquita Brooks-LaSure.
“Access to postpartum care is critical to keeping our nation’s families
healthy. That’s why CMS is proud to partner with New Jersey today to expand
postpartum health coverage and advance health equity for thousands of
low-income people covered by Medicaid and CHIP.”
This amendment to the New Jersey FamilyCare Comprehensive
Demonstration aligns with coverage options available under the American
Rescue Plan (ARP). Beginning on April 1, 2022, states will have the option
to extend coverage for postpartum individuals beyond the required 60-day
postpartum period through the end of the month in which a 12-month
postpartum period ends.
The Biden-Harris Administration is committed to addressing the
health disparities that underlie our health system. Actions under the Build
Back Better agenda will provide significant funding towards improving
maternal health and tackling health disparities. On April 12, 2021, the
U.S. Department of Health and Human Services (HHS) recognized Black
Maternal Health Week by announcing actions to expand access to continuous
health care coverage as well as access to preventive care in rural areas in
order to improve maternal health outcomes. The Administration also issued
the first ever presidential proclamation on Black Maternal Health Week,
calling on all Americans to recognize the importance of addressing the
crisis of Black maternal mortality and morbidity in this country.
Medicaid covers nearly one in five women of reproductive age
and makes pregnancy-related care accessible for more than 40 percent of
people giving birth. Currently, a third of maternal deaths occur between
one week to a year after childbirth, and Black women suffer three to four
times more pregnancy-related deaths than white women. Providing continued
Medicaid and CHIP coverage helps ensure access to the ongoing care people
need during the postpartum period. The continuity of coverage available
through this demonstration can help postpartum people manage chronic
conditions like hypertension and diabetes, and provide access to behavioral
health and other mental health care services.
This demonstration amendment will also ensure that the state
can receive the enhanced funding for expenditures related to eligible
people who remain covered through the demonstration and who would otherwise
qualify for the Medicaid expansion adult group.
As part of this approval, New Jersey has agreed to undertake
monitoring and evaluation of the demonstration for the extension period, in
alignment with any applicable CMS-provided technical assistance.
For more information on the amendment to the section 1115 New
Jersey FamilyCare Comprehensive Demonstration, visit: https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/82571.
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