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Strengthen the Evidence for Maternal and Child Health Programs

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Pedersen S, Cohen A, Lally H, Ramos C, Hafner M. 2025. State Medicaid coverage of evidence-based perinatal services varies widely. Arlington, VA: Health Research and Policy Center, 14 pp.

Annotation: This issue brief analyzes state Medicaid coverage of evidence-based perinatal services that can improve maternal and infant health outcomes, particularly during the postpartum period. The document examines coverage across four categories of services including alternative models of care delivery, whole-person wraparound care, mental and behavioral health support, and lactation support beyond the hospital. It finds wide variation in Medicaid coverage of these evidence-based perinatal services across states, with only 11 states requiring and reimbursing maternal depression screening during well-child visits and significant differences between Medicaid expansion and non-expansion states. The analysis emphasizes that despite growing recognition of postpartum care importance, state variation in Medicaid coverage likely influences maternal health outcomes and worsens place-based disparities.

Keywords: Evidence based medicine, Health policy, Medicaid, Perinatal care, Postartum care, Reimbursement, State MCH programs, Statistics
   

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