Status of State Actions to Extend Postpartum Medicaid Coverage

In This Section

States have started to take action to extend postpartum Medicaid coverage! Most states are choosing to provide full Medicaid benefits for 12 months after the end pregnancy using what's known as the State Plan Amendment (SPA) pathway. Other states are selecting the Medicaid Section 1115 Waiver, which grants states flexibility to achieve identified goals and target specific populations through pilot or demonstration projects. Because states can choose how to design their waiver request, there is an option to limit services and provide coverage for less than 12 months. Learn about these pathways

The map and accompanying chart below detail the status of state action to extend postpartum Medicaid coverage.*

Status of State Actions (Map)

*It is important to note that a federal law passed in 2020 prohibits states from ending coverage for Medicaid enrollees for the duration of the COVID-19 public health emergency declaration.


State	Legislation Passed (Yes/No)	Selected Pathway	Details about 1115 Waiver (If applicable)	Waiver or SPA Approved by CMS	Elected to Extend Coverage to Undocumented People	Medicaid Expansion State
Alabama	Yes	SPA	N/A	Yes	Yes	No
Alaska	Yes	SPA	N/A	Yes	No	Yes
Arizona	Yes	SPA	N/A	Yes	No	Yes
Arkansas	No	N/A	N/A	N/A	N/A	Yes
California	Yes	SPA	N/A	Yes	Yes	Yes
Colorado	Yes	SPA	N/A	Yes	Yes	Yes
Connecticut	Yes	SPA	N/A	Yes	Yes	Yes
Delaware	Yes	SPA	N/A	Yes	No	Yes
District of Columbia	Yes	SPA	N/A	Yes	No	Yes
Florida	Yes	1115 Waiver	Eligibility: All Medicaid eligible pregnant persons Scope of Services: Full services Coverage Extension: 12 months Waiver Period: May 2022–June 2030	Yes	No	No
Georgia	Yes	SPA	N/A	Yes	No	No
Hawaii	Yes	SPA	N/A	Yes	No	Yes
Idaho	Yes	SPA	N/A	N/A	No	Yes
Illinois	Yes	SPA	N/A	Yes	No	Yes
Indiana	Yes	SPA	N/A	Yes	No	Yes
Iowa	Yes	SPA	N/A	Yes	No	Yes
Kansas	Yes	SPA	N/A	Yes	No	No
Kentucky	No	SPA	N/A	Yes	No	Yes
Louisiana	Yes	SPA	N/A	Yes	No	Yes
Maine	Yes	SPA	N/A	Yes	Yes	Yes
Maryland	Yes	SPA	N/A	Yes	Yes	Yes
Massachusetts	Yes	SPA	N/A	Yes	Yes	Yes
Michigan	Yes	SPA	N/A	Yes	No	Yes
Minnesota	Yes	SPA	N/A	Yes	Yes	Yes
Mississippi	Yes	SPA	N/A	Yes	No	No
Missouri	Yes	SPA	N/A	Yes	No	Yes
Montana	Yes	SPA	N/A	Yes	No	Yes
Nebraska	Yes	SPA	N/A	Yes	No	Yes
Nevada	Yes	SPA	N/A	Yes	No	Yes
New Hampshire	Yes	SPA	N/A	Yes	No	Yes
New Jersey	Yes	1115 Waiver	Eligibility: All Scope of Services: Full services Coverage Extension: 12 months Waiver Period: April 2023–June 2028	Yes	No	Yes
New Mexico	Yes	SPA	N/A	Yes	No	Yes
New York	Yes	SPA	N/A	Yes	Yes	Yes
North Carolina	Yes	SPA	N/A	Yes	No	Yes
North Dakota	No	SPA	N/A	Yes	No	Yes
Ohio	Yes	SPA	N/A	Yes	No	Yes
Oklahoma	No	SPA	N/A	Yes	No	Yes
Oregon	Yes	SPA	N/A	Yes	Yes	Yes
Pennsylvania	Yes	SPA	N/A	Yes	No	Yes
Rhode Island	No	SPA	N/A	Yes	Yes	Yes
South Carolina	Yes	SPA	N/A	Yes	No	No
South Dakota	No	SPA	N/A	Yes	No	Yes
Tennessee	Yes	1115 Waiver (Medicaid) SPA (CHIP)	Eligibility: All Medicaid eligible pregnant persons Scope of Services: Full services Coverage Extension: 12 months Waiver Period: January 2022–December 2030 Additional Information: Extended postpartum coverage for CHIP eligible beneficiaries via a SPA	Yes (Waiver) Yes (CHIP SPA)	No	No
Texas	Yes	SPA	N/A	Yes	No	No
Utah	Yes	SPA	N/A	Yes	No	Yes
Vermont	No	SPA	N/A	Yes	Yes	Yes
Virginia	Yes	1115 Waiver	Eligibility: All Medicaid eligible pregnant persons Scope of Services: Full services Coverage Extension: 12 months Waiver Period: Expires June 2029	Yes	Yes	Yes
Washington	Yes	SPA and 1115 Waiver	Eligibility: Individuals who are in the 12-month postpartum period, have income up to and including 193% of the FPL and meet all other Medicaid eligibility criteria were not previously enrolled in Medicaid or CHIP during their pregnancy, and who would otherwise lose coverage during an eligibility determination but are still within the continuous eligibility period Scope of Services: Full services Coverage Extension: 12 months Waiver Period: July 2023–June 2028	Yes (SPA) Yes (1115 Waiver)	Yes	Yes
West Virginia	Yes	SPA	N/A	Yes	No	Yes
Wisconsin	Yes	1115 Waiver	Eligibility: All Medicaid eligible pregnant persons Scope of Services: Full services Coverage Extension: 90 days Waiver Period: N/A Additional Information: Draft waiver pending CMS approval	No	No	No
Wyoming	Yes	SPA	N/A	Yes	No	No
State Totals	Yes: 44 No: 7	SPA: 45 1115 Waiver: 6	6	48	14	Yes: 40 No: 11

Status of State Actions to Extend Postpartum Medicaid Coverage

Status of State Actions (Map)

Please Confirm