Medicaid Eligibility Category Among Enrollees With Medicaid‐Paid Births in 2018

Nearly half of pregnant Medicaid/CHIP enrollees were not enrolled via pregnancy Medicaid eligibility when they delivered. It is important for states to be aware of pregnancy status to apply correct eligibility criteria and benefits for pregnant and postpartum enrollees, including the 12 months of extended postpartum coverage newly available and elected in nearly all states.

Authors

Thomas C. Buchmueller (ORCID: https://orcid.org/0000-0002-3068-7419)
Benjamin D. Sommers (ORCID: https://orcid.org/0000-0001-6507-6047)
Anastasia Whitman
Sarah H. Gordon (ORCID: https://orcid.org/0000-0003-4743-2014)

Institutions

Boston University (US)
Harvard University (US)
University of Michigan (US)
Ross School (US)
STS International (US)

Publication Details

Journal: Health Services Research
Published: 2025-11-07
DOI: https://doi.org/10.1111/1475-6773.70053
Primary Topic: Reproductive Health and Contraception
Type: article
Field-Weighted Citation Impact: 0.00

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article

Medicaid Eligibility Category Among Enrollees With Medicaid‐Paid Births in 2018

Thomas C. Buchmueller, Benjamin D. Sommers, Anastasia Whitman, Sarah H. Gordon

Nov 7, 2025

Health Services Research

Reproductive Health and Contraception

article

Medicaid Eligibility Category Among Enrollees With Medicaid‐Paid Births in 2018

Thomas C. Buchmueller, Benjamin D. Sommers, Anastasia Whitman, Sarah H. Gordon

November 7, 2025article en

Abstract

Nearly half of pregnant Medicaid/CHIP enrollees were not enrolled via pregnancy Medicaid eligibility when they delivered. It is important for states to be aware of pregnancy status to apply correct eligibility criteria and benefits for pregnant and postpartum enrollees, including the 12 months of extended postpartum coverage newly available and elected in nearly all states.

Health Services ResearchVol. 61(1)

Boston University (US), Harvard University (US), University of Michigan (US), Ross School (US), STS International (US)

Openalex Percentile: Top 57%

Reproductive Health and Contraception

DOI Open Access PDF OpenAlex

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Medicaid Eligibility Category Among Enrollees With Medicaid‐Paid Births in 2018 — Thomas C. Buchmueller, Benjamin D. Sommers, et al. · Health Services Research (2025) | TGRS Research Map | TGRS