MedicaidCoverageMedium impact
Postpartum Coverage Expanded to One Year
EmblemHealth·OB-GYN, Family Medicine, General Practice +1 more·Provider News
Effective date
Jun 14, 2023
We identified it
Jun 20, 2026
Summary
EmblemHealth expanded postpartum coverage for Medicaid and CHPlus members from 60 days to a full year following pregnancy, effective June 14, 2023. This extends the billing period for postpartum care services regardless of immigration status or pregnancy outcome.
Action Required
Immediately: Billing team must update EmblemHealth Medicaid and CHPlus member eligibility verification to reflect extended 12-month postpartum coverage period instead of 60 days. Update patient scheduling systems to allow postpartum appointments throughout the full year. Verify coverage for all postpartum services including mental health, primary care transitions, and complication management.