Commonwealth Fund January 27, 2026
Abstract
Issue: Most people with Medicaid who have given birth in the past 12 months are enrolled in Medicaid managed care (MMC), underscoring the essential role state Medicaid agencies and managed care organizations play in ensuring continuous, high-quality postpartum care. Recent federal Medicaid funding cuts, however, pose challenges for postpartum enrollees.
Goal: To explore states’ requirements for postpartum care from their Medicaid managed care organizations (MCOs) and whether these requirements were expanded after states extended continuous Medicaid coverage to 12 months postpartum.
Methods: The study team reviewed MMC agreements from all states to assess whether they addressed any of 30 subdomains of postpartum best practices and clinical guidelines. Contracts from 2021–2022 were compared to those from 2024–2025 to ascertain whether...
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