Medicaid Policy
Medicaid Policy
Effective Date: January 1, 2024
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Effective January 1, 2024, Utah Medicaid and the Children’s Health Insurance Program (CHIP) will extend postpartum coverage from 60 days to 12 months. This coverage aims to provide comprehensive care for new mothers during the critical postpartum period. This policy change affects some members that were recently pregnant. The following outlines the changes:
1. Automatic Extension for Current Members: Medicaid and CHIP members who are currently pregnant or in their 60-day postpartum period will automatically receive an extension to 12 months of coverage. This will also apply to members whose 60-day postpartum coverage was due to end on December 31, 2023. This will involve adjustments to certification periods to accommodate the extended coverage.
2. Coverage for Members Who Transitioned Programs: Medicaid members who were pregnant at any time in 2023 and have since transitioned to a Medicaid program without pregnancy benefits (such as Adult Expansion or Targeted Adult Medicaid) will be moved back to a program that offers pregnancy benefits. This ensures they are eligible to receive the remaining portion of the 12 months of postpartum coverage. This may result in changes to the certification period.
3. Reapplication for Members who Closed: Medicaid and CHIP members whose coverage ended before December 31, 2023 due to a change in pregnancy status, and who were covered in 2023 during pregnancy, are eligible to reapply for the extended postpartum benefits. However, this option is not available to individuals who lost coverage due to moving out of state.