Medical necessity and an indication of risk for genetic anomalies were the most frequently noted restrictions. These include: If the diagnostic test finds a genetic abnormality, the significance of such results should be discussed with experts familiar with the condition, including a medical geneticist and a genetic counselor, as well as your own doctor. Fragile X syndrome is the most common cause of inherited mental retardation, affecting approximately 1 in 3,600 males and 1 in 6,000 females. The state allows rental or purchase of a breast pump based on the situation of the infant or mother. These tests have no risks of miscarriage, but cannot determine with certainty whether a fetus is affected. Research has found that home visits are associated with a variety of positive outcomes, including lower severity of postpartum depression and improved mother-child interactions.2 Home visits may also cover management of substance abuse, depression, and other chronic conditions. , and Nearly all states surveyed reported that they cover substance/alcohol abuse treatment for pregnant women. Most of the remaining 35 states provide case management through all eligibility pathways, with exceptions noted in Appendix Table A4. Key Finding: Childbirth & Parenting Education. For example, Connecticut allows the services in hospital and clinic settings if provided by any of these licensed provider types: Physician, DO, Physician Assistant, Advanced Practice Registered Nurse (APRN), or Certified Nurse Midwife (CNM), and is a component of the hospital or clinic reimbursed services. Routine prenatal care typically includes ultrasound and blood marker analysis to determine the risk of certain birth defects such as sickle cell, down syndrome, or other birth abnormalities. Learn more here. It is required for rental beyond 3 months. All states that responded to the survey reported that they cover prenatal vitamins and ultrasounds for pregnant women regardless of eligibility pathway (Table 4). Some states impose limitations on this coverage however, such as requiring a prescription for prenatal vitamins or limits on the number of ultrasounds allowed during the course of a pregnancy. Prenatal screening tests can identify women at high risk for having a baby with certain types of genetic disorders or birth defects. The ACA requires states to cover counseling services for alcohol misuse for beneficiaries enrolled under the ACA’s Medicaid expansion option. Ivette Gomez Dr. Jasleen Kukreja and the Life-Saving Gift of Breath, Care, Convenience and Support at New Cancer Facility, 10 Ways to Get the Most Out of Your Doctor’s Visit, UCSF Health Ranked Among Nation's Top 10 Hospitals. Key Finding: Breastfeeding Education and Lactation Consultation. In New York, qualified practitioners for Medicaid reimbursable lactation counseling must be state licensed, registered, or certified health care professionals who are International Board Certified Lactation Consultants (IBCLCs) credentialed by the International Board of Lactation Consultant Examiners (IBLCE) and one of the following: Physician, Nurse Practitioner, Midwife, Physician Assistant, Registered Nurse. Schedule via MyChart or call for an appointment in SF, the East Bay or San Mateo. Prenatal care services monitor the progress of a pregnancy and identify and address potential problems before they become serious for either the mother or baby. New Hampshire is the only state that reported it does not cover substance abuse treatment in its traditional Medicaid pathway. In the 27 states that cover breastfeeding education in their traditional Medicaid program, coverage is aligned across the three Medicaid eligibility pathways, except in Nevada, which provides the service under traditional Medicaid, but not through the ACA Medicaid expansion or through the state’s program for pregnant women. All states cover prenatal vitamins and ultrasounds for pregnant women. These include educational classes on childbirth and infant care, transportation to appointments, and home visits during or after pregnancy to assist with basic medical care, counseling on healthy behaviors, and in person infant care assistance. The survey asked about coverage for breastfeeding education such as classes and about coverage for lactation consultation in the hospital, clinic/outpatient, and home settings. The presence of isolated choroid plexus cysts (CPCs) on a second trimester ultrasound is a common cause of anxiety. If you're a patient or visitor in one of our hospitals or clinics, you are required to wear a mask. U.S. Coronavirus Cases (11/23): 12.416 million, Medicaid Coverage of Pregnancy and Perinatal Benefits: Results from a…, KFF Health Tracking Poll – October 2020: The Future of the ACA and Biden’s Advantage On Health Care, In Their Own Voices: Low-income Women and Their Health Providers in Three Communities Talk about Access to Care, Reproductive Health, and Immigration, Key Finding: Prenatal Vitamins and Ultrasound. Appendix Table A4 provides detail around state coverage of case management services and substance and alcohol use treatment for pregnant women. Quest is pleased to be an in-network provider for many health plans, increasing your access to QNatal Advanced noninvasive prenatal screening.