Tag Archives: Presumptive Eligibility

Establishment of presumptive eligibility for pregnant women (PEPW) in Mississippi

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Written by Prachi Prajapati

Executive summary

The recent expansion of postpartum care coverage in Mississippi is the first step towards improvement of maternal and infant health outcomes. The focus should now move to provision of appropriate and necessary prenatal care for pregnant women. As hospitals and clinics in rural areas are collapsing[i], pregnant women delay seeking prenatal care which pose challenges for both the mother and the fetus during pregnancy. Our recommendation to improve access and utilization of … Read more...

Presumptive Medicaid Eligibility for Pregnant Women

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Mississippi Medicaid pays for pregnancy-related healthcare for over 60% of Mississippi births each year. Many pregnant Medicaid participants would not have been eligible for Medicaid prior to their pregnancy increasing the likelihood that they have gone uninsured for some time. Healthcare and policy experts have recommended extending postpartum coverage to support improved maternal and child health. More than a third of births covered by Mississippi Medicaid occur to women with at least one known pregnancy risk factor. Maternal health strongly … Read more...

Presumptive Medicaid Eligibility for Pregnant Women

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Presumptive Eligibility for Pregnant Women (PEPW) is an optional program for states within the Medicaid program. If a state chooses to offer PEPW this means that a low-income woman who is pregnant and seeks medical services will be presumed to be eligible for Medicaid coverage and the medical provider can provide prenatal care and be reimbursed by Medicaid. This Medicaid policy option allows states to provide prenatal care to low-income women sooner than if she had to wait for her … Read more...