Medicaid & pregnancy

Why This Topic Matters

Medicaid maternity billing is state-specific and can affect how prenatal, delivery, and postpartum services are reported and reimbursed. Understanding the article helps practices recognize that the billing method may differ from one state to another and that current Medicaid guidance should be confirmed before claims are filed.

Article Sections

1. Global Codes

   This section discusses state Medicaid approaches that use global obstetrical billing for full maternity care. It also addresses how practices may need to track services differently when care extends beyond routine patterns.

2. Component Codes for OB care

   This section covers billing maternity care by separate obstetrical components rather than under a single global claim. It focuses on how states may structure antepartum, delivery, and postpartum reporting.

3. E/M codes for all antepartum care

   This section describes state Medicaid programs that require individual evaluation and management reporting for prenatal care. It also notes how this approach can differ from global maternity billing.