Incentive for Timely Postpartum Visits

The New York State Department of Health received Centers for Medicare & Medicaid Services (CMS) approval to provide an additional incentive payment to providers for comprehensive, timely postpartum visits for Medicaid Managed Care (MMC) members.

This incentive payment will apply to postpartum visits for deliveries that occurred from July 1, 2024, through March 31, 2025. Providers who delivered a person-centered, comprehensive postpartum visit as outlined by the American College of Obstetricians and Gynecologists clinical guidelines, including a postpartum depression screening, to New York State Medicaid members within 12 weeks of the date of delivery, will receive an additional payment of $208.55.

Note: Providers will receive payment from contracted managed care organizations within six months following the claims runout end date to allow time to complete the reconciliation and process the payments according to the table below:

For more information about the incentive, review the New York State Medicaid Update - December 2024 Volume 40 - Number 13.