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Idaho officials: postpartum coverage expansion live; federal review rejected part of state plan, appeal scheduled
Summary
The Medicaid postpartum state plan amendment is operational and about 2,800 women had benefited, but Idaho officials said a federal decision rejected a portion of the state's interpretation regarding coverage after out‑of‑state elective abortion and the state has appealed and secured a hearing in April
Director Alex Adams told the joint finance committee on Feb. 26 that the state's postpartum coverage state plan amendment is fully operational and that approximately 2,800 women have received postpartum coverage under the change.
Adams said the federal administration rejected part of Idaho’s state plan amendment where the state sought to limit federal postpartum coverage consistent with Idaho abortion law. He told the committee the department filed an appeal on Jan. 20 and that the appeal hearing has been scheduled for the first week of April under the subsequent federal administration.
“Last update I got is about 2,800 women have benefited from postpartum coverage,” Adams said. He added the department appealed the federal interpretation that it must provide 12 months postpartum coverage following an elective abortion under the federal interpretation, and that the state is pursuing a hearing on its appeal.
Representative Price had asked for a breakdown of what services are covered and whether coverage applies if a beneficiary received abortion services out of state; Adams said he would follow up with the committee and provided the procedural update about the appeal and hearing date.
No formal decision was made in the hearing; department staff said they would provide details and a breakdown of covered services to the committee.
