Extended Services for Pregnant Women
States are required to provide pregnancy-related services and services for other conditions that might complicate pregnancy, both during the pregnancy and for 60 days after the pregnancy ends. Pregnancy-related services are those services that are necessary for the health of the pregnant woman and fetus, or that have become necessary as a result of the woman being pregnant. They include but are not limited to prenatal care, delivery, postpartum care, and family planning. Services for other conditions that might complicate the pregnancy include those for diagnoses, illnesses, or medical conditions that might threaten the carrying of the fetus to full term or the safe delivery of the fetus. Several States provide targeted case management services as a complement to prenatal care for high-risk pregnant women during and immediately following pregnancy. Such services are directed toward the alleviation of psychosocial problems and health education deficits so to assure a healthy pregnancy outcome. The 60-day postpartum period begins on the last day of pregnancy and extends through the end of the month in which the 60-day period following termination of pregnancy ends.

By their nature, these services may be provided by a number of different providers. As such, there is no specific coverage policy or reimbursement methodology for this service. Instead, the policy and reimbursement methodology applicable to the provider rendering the service would be used.