An Open Letter to CMS Regarding Ob Reimbursement for MMH Services

Given the Policy Center’s focus on improving maternal mental health (MMH) detection and treatment rates, we believe it’s critical that obstetric care providers (Ob/Gyns, midwives, and family practice doctors) are reimbursed for their time providing maternal mental health care. Currently, most obstetric care providers are not reimbursed for their time as many are when paid through a global maternity care bundled rate. This letter calls on CMS to provide guidance to state Medicaid agencies on the need to address reimbursement starting in pregnancy and through 12 months postpartum. 

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CMS’ Toolkit on Postpartum Care Addresses Postpartum Depression – But Misses a Critical Opportunity to Address OB Payment and Peer Support

In August 2023, the Center for Medicare and Medicaid Service (CMS) published a postpartum toolkit for State Medicaid and the Children’s Health Insurance Program (CHIP) Agencies titled Increasing Access, Quality, and Equity in Postpartum Care in Medicaid and CHIP. The toolkit addresses postpartum depression; however, we point out opportunities CMS missed, including addressing the role of the obstetric provider.

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