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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