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Postpartum Benefit Extension

Date: 02/21/23

This is an important notice about your postpartum coverage. We are making a change to your coverage. On July 1, 2021, the Medicaid agency extended postpartum services from sixty (60) days to six (6) months for eligible pregnant women. This was done through an 1115 demonstration that was approved by the Centers for Medicare and Medicaid Services (CMS). You are currently receiving six (6) months postpartum services through the 1115 demonstration.

In March 2021, a new law was passed that allows state Medicaid agencies to provide twelve (12) months postpartum coverage to eligible pregnant women. The new law is called the American Rescue Plan Act (ARPA). Section 9812 of the American Rescue Plan Act allows the Medicaid agency to provide twelve (12) months postpartum coverage.

Effective October 31, 2022, the 1115 demonstration that allows six (6) months postpartum services ended. This means you are no longer enrolled in the 1115 demonstration as of October 31, 2022. Instead of receiving six (6) months postpartum services through the 1115 demonstration, you are eligible for an increase to your postpartum coverage to 12-months under the state plan. This will give you access to postpartum services for a longer period of time. You do not have to take any action. Your postpartum coverage will transition to twelve (12) months automatically.

If you have any questions, you may contact Peach State Health Plan using the information below: