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Arizona Extends Medicaid Postpartum Coverage to 12 Months

Arizona Medicaid - AHCCCS·AZ · OB-GYN, Family Medicine, Pediatrics +2 more·Medical Policy
Effective date
Apr 1, 2023
We identified it
Jun 17, 2026
Days to comply

Summary

Arizona has extended Medicaid postpartum coverage from 60 days to 12 months for members who were eligible solely based on pregnancy. This significantly expands the coverage period for postpartum care, mental health services, and complications management for Arizona Medicaid patients.

Action Required

Action needed
Immediately: Billing team must update patient eligibility verification processes to recognize that Arizona Medicaid postpartum members now have coverage for 12 months instead of 60 days post-delivery. Update scheduling systems to allow appointments for postpartum patients up to 12 months after birth. Train front desk staff to verify coverage for extended postpartum period. Failure to verify extended coverage may result in missed billing opportunities or inappropriate patient collections.