Quick Facts About
Medicaid & Pregnancy
Barriers of Access
Medicaid enrollees are less likely to receive prenatal care in the first trimester of pregnancy and adequate prenatal care overall than those who are privately insured.
Contrary to popular expectation, disparities among the Medicaid population do not extend to technology.
Medicaid enrollees use technology at only slightly lower rates than adults with exchange coverage, and express equal interest in using technology for their health. Digital health is a viable option for supporting Medicaid enrollees.
Medicaid enrollees are more likely to be at basic levels of health literacy or below.
Health literacy is one of the greatest barriers to care, particularly preventative care — much higher than technology ownership or geographic access. Communicating information at a simplified reading level is critical for improving access to and engagement with care.
Lack of transportation is a major barrier of access to care and to non-clinical resources such as food support.
Transportation insecurity is experienced disproportionately by women of reproductive age with low incomes and a low degree of formal education, who are more likely to be enrolled in Medicaid.
Lack of access results in lower utilization of prenatal care and higher costs associated with delivery.
Medicaid coverage for remote patient monitoring devices and services is rapidly expanding but not universal. Currently, Medicaid covers RPM services in slightly more than half of states.
Starting in January of 2024, the Centers for Medicare and Medicaid Services (CMS) have ruled that Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) can now bill for RPM under new global coding.
CMS introduced the Transforming Maternal Health (TMaH) Model, designed to focus exclusively on people enrolled in Medicaid and Children's Health Insurance Program (CHIP). TMaH is a state-based model, in which state Medicaid agencies serve as model awardees. Along with state Medicaid agencies, Managed Care Organizations (MCOs), Perinatal Quality Collaboratives, hospitals, birth centers, health centers and rural health clinics, maternity care providers and community-based organizations are critical collaborators to model success.
Payers & Pregnant Members
Virtual Care Resource Center
Learn more about Babyscripts for Medicaid
Medicaid plays a key role in addressing concerns about rising pregnancy-related mortality and morbidity and significant racial and ethnic disparities in maternal outcomes. Schedule a demo to learn more about how Babyscripts works with payers and care teams serving Medicaid populations.