MedicaidCoverageMedium impact
Medicaid Members To Receive Extended Postpartum Health Care Coverage
Arizona Medicaid - AHCCCS·AZ · OB-GYN, Family Medicine, Internal Medicine·Medical Policy
We identified it
Jun 17, 2026
Summary
Arizona Medicaid (AHCCCS) is extending postpartum health care coverage from 60 days to 12 months for pregnant members, pending federal CMS approval. This significantly expands billing opportunities for postpartum care services during the first year after delivery.
Action Required
Monitor AHCCCS communications for CMS approval and implementation date. Once approved: Update billing system to reflect 12-month postpartum coverage eligibility for Arizona Medicaid members instead of current 60-day limit. Train billing team on extended coverage period for postpartum visits and related services. Verify patient eligibility extends to 12 months postpartum before claim submission.