MedicaidCoverageMedium impact
Services for Pregnant and Postpartum Members
EmblemHealth·OB-GYN, Family Medicine, General Practice·Provider News
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
EmblemHealth will now reimburse community health worker (CHW) services for pregnant and postpartum Medicaid and HARP members starting October 1, 2023. Coverage includes health advocacy, education, and navigation services during pregnancy and up to 12 months after pregnancy ends.
Action Required
Billing team should review the full announcement on EmblemHealth's State Sponsored Programs hub to understand coverage criteria for CHW services. Identify if your practice provides community health worker services and ensure proper billing procedures are in place for eligible pregnant and postpartum Medicaid/HARP members.