MedicaidCoverageMedium impact
Supporting Women’s Health
EmblemHealth·NY · OB-GYN, Family Medicine, Internal Medicine +2 more·Provider News
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
EmblemHealth is expanding women's health services by adding doulas to their provider networks for Medicaid/HARP/Essential Plan members effective January 1, 2025, partnering with SimpliFed for lactation support, and adding Elektra Health for menopause care. The policy also emphasizes osteoporosis management for women 67-85 after fractures.
Action Required
By January 1, 2025: Billing team should verify SimpliFed and Elektra Health are in EmblemHealth's provider directory for member referrals. Providers should identify doulas interested in joining EmblemHealth networks and contact medicaidproduct@emblemhealth.com. For women 67-85 with fractures, ensure BMD tests or osteoporosis medications are prescribed within 6 months for HEDIS quality measures.