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PRESS RELEASE

HHS EXTENDS POSTPARTUM COVERAGE IN VIRGINIA FOR NEARLY 6,000 PEOPLE



Nov 18, 2021
 * Medicaid & CHIP

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The Biden-Harris Administration, through the Centers for Medicare & Medicaid
Services (CMS) today approved extended Medicaid and Children’s Health Insurance
Program (CHIP) postpartum coverage in Virginia. This will provide access to
essential care for an estimated 6,000 Virginians and provide peace of mind for
people enrolled in Medicaid and CHIP, who will now be able to keep their
coverage for 12 months, or regain coverage within that 12-month period, after
childbirth. This important approval step will help Virginia expand access to
needed pregnancy-related care, with the goal of preventing unnecessary
postpartum-related illnesses and deaths. Today’s announcement, made at a
maternal health event in Virginia, advances the Biden-Harris Administration’s
strategy to address the nation’s crisis in pregnancy-related deaths and will
improve health outcomes among underserved communities through expanded access to
critical care.

“Becoming a parent is among life’s greatest milestones, but sadly paired with
significant challenges for many in low-income communities,” said Health and
Human Services Secretary Xavier Becerra. “I applaud Virginia for taking action
to provide vital, continued care for new parents and their precious newborns.
This expansion of postpartum coverage will not only improve health outcomes for
thousands of Virginians— it will save lives. The Biden-Harris Administration
encourages more states across the country to adopt this expansion and support
healthy parents and babies.”

“It is a privilege to partner with the Commonwealth of Virginia to expand access
to life-saving postpartum coverage and care,” said CMS Administrator Chiquita
Brooks-LaSure. “Improving maternal health outcomes—particularly among
underserved communities, including among people of color—is a top priority for
the Biden-Harris Administration. Today’s action advances our commitment to
improving the health of low-income pregnant people and their babies and
preventing pregnancy-related illness and death.”

This extended coverage comes through an amendment to the Virginia Family Access
to Medical Insurance Security (FAMIS) MOMS and FAMIS Select Demonstration, which
aligns with coverage options available under the American Rescue Plan (ARP).
Thanks to the ARP, states will have the option (beginning April 1, 2022) to
extend coverage for postpartum individuals beyond the required 60-day postpartum
period through the end of the month in which a 12-month postpartum period
concludes. Virginia’s demonstration provides authority to implement a similar
coverage expansion, beginning on November 18, 2021.

CMS is also approving Virginia’s request to provide coverage to those postpartum
individuals who are beyond the 60-day state plan postpartum period but who are
still within the 12 months post-pregnancy period. This means that individuals
who are eligible for extended postpartum coverage may be enrolled in Medicaid or
CHIP for the purpose of receiving the extended postpartum coverage benefit at
any time during the 12-month period following the end of pregnancy. Individuals
enrolled in the extended postpartum coverage period not immediately following
pregnancy but at a later point in time within the 12-month coverage period are
only eligible for the period of time that remains prior to the end of the 12th
month following the end of pregnancy. For example, an eligible individual who
was enrolled in the fourth month following the end of the pregnancy will only be
eligible to receive eight months of extended postpartum coverage.

The Biden-Harris Administration is committed to addressing the health
disparities that underlie our health system. Actions under the Build Back Better
agenda will provide significant funding towards improving maternal health and
tackling health disparities. On April 12, 2021, HHS recognized Black Maternal
Health Week by announcing actions to expand access to continuous health care
coverage, as well as access to preventive care in rural areas in order to
improve maternal health outcomes. The Administration also issued the first-ever
presidential proclamation on Black Maternal Health Week, calling on the country
to recognize the importance of addressing the crisis of Black maternal mortality
and morbidity.

Medicaid covers nearly one in five women of reproductive age and makes
pregnancy-related care accessible for more than 40 percent of people giving
birth. Currently, a third of maternal deaths occur between one week to a year
after childbirth, and Black women suffer three to four times more
pregnancy-related deaths than white women. Providing continued Medicaid and CHIP
coverage helps ensure access to the ongoing care people need during the
postpartum period. The continuity of coverage available through this
demonstration can help postpartum people manage chronic conditions like
hypertension and diabetes, and provide access to behavioral health and other
mental health care services.

This demonstration amendment will also ensure that the state can receive
enhanced funding for expenditures related to eligible people who remain covered
through the demonstration and who would otherwise qualify for the Medicaid
expansion adult group.

As part of this approval, Virginia has agreed to undertake monitoring and
evaluation of the demonstration for the extension period, in alignment with any
applicable CMS-provided technical assistance.

For more information on the amendment to the section 1115 Virginia FAMIS MOMS
and FAMIS Select Demonstration,
visit: https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/83426.

###

 

 

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RELATED RELEASES

 * Thousands More People with Medicaid and CHIP Coverage Now Eligible to Access
   Critical Postpartum Coverage Thanks to the American Rescue Plan
   Apr 01, 2022
 * HHS to Provide $110 Million to Strengthen Safety Net for Seniors and People
   with Disabilities
   Mar 31, 2022
 * CMS Office of the Actuary Releases 2021-2030 Projections of National Health
   Expenditures
   Mar 28, 2022
 * Statement from CMS Administrator Chiquita Brooks-LaSure on President Biden’s
   State of the Union:
   Mar 02, 2022
 * Biden-Harris Administration Announces Request for Information on Access to
   Care and Coverage for People Enrolled in Medicaid and CHIP
   Feb 17, 2022


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