August 30, 2022

Kentucky Medicaid: Coverage extended for pregnant individuals

On May 25, 2022, the Centers for Medicare & Medicaid Services (CMS) approved Kentucky’s request to extend Medicaid coverage for eligible and enrolled pregnant individuals for 12 months postpartum following delivery. This extends coverage beyond the mandated 60-day postpartum period and is applicable regardless of changes in income that would otherwise make the enrollee ineligible. The postpartum period begins on the last day of the pregnancy for both live births and stillbirths.

Coverage specifications
The 12-month continuous eligibility coverage is retroactive to April 1, 2022, and is available for enrollees through March 31, 2027, or other date as specified by law. This extension doesn’t apply to pregnant individuals eligible only during a period of presumptive eligibility.

Continuous eligibility will end if the individual:

  • Voluntarily terminates eligibility
  • Is no longer a resident of Kentucky
  • The Medicaid agency determines that eligibility was incorrectly determined

How you can help
Extending postpartum coverage can help prevent pregnancy-related mortality and morbidity, which are becoming increasingly prevalent in the U.S.1 As a health care professional, you have more opportunities to provide mothers and infants with overall care and address all health concerns critical to childbirth recovery.

Questions?
Reach out to your provider advocate to learn more about the extended Medicaid coverage for your patients. 

1Analysis of Federal Bills to Strengthen Maternal Health Care | KFF
PCA-1-22-02669-C&S-News-08292022
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