How Do I Get My Newborn On Medicaid

Newborn Screening For Chip And Chip Perinatal

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Providers submitting newborn screening specimens to the Department of State Health Services laboratory use the NBS3: Medicaid/Charity Care/CHIP test card when screening babies insured by CHIP and CHIP Perinatal. This test card is available at no charge.


  • The provider sends a request for the NBS3: Medicaid/charity care/CHIP test cards from the DSHS laboratory.
  • The DSHS laboratory sends the provider the test cards.
  • The provider draws the infant’s blood sample, and completes the test card.
  • The provider sends the test kit to the DSHS laboratory for analysis.
  • The DSHS laboratory conducts the screen for genetic disorders.
  • The DSHS laboratory notifies the provider of the results.

Get Important News & Updates

Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.

Can An Uninsured Woman Enroll In Marketplace Coverage Upon Giving Birth

Maybe. If the baby is eligible for Marketplace coverage, then the baby qualifies for an SEP as a new dependent. In such instances, the regulations will also permit an SEP for the new mother, as someone who has gained a dependent through birth.


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Can I Get A Free Breast Pump Through Wic

WIC is a public nutrition program that provides support to low-income women, infant, and children who may be at risk for nutritional deficiencies. WIC programs help provide families with important nutrients and help support healthy behaviors through childhood.WIC can help provide a breast pump and breastfeeding support to families in need. When insurance doesnt cover a breast pump or in cases where you may not have insurance, many WIC offices have resources to provide a single-user manual or electric pump to mothers. If youve already delivered and are waiting for your free breast pump through insurance, WIC may be able to loan you a pump while you wait to receive your free pump through the mail.If youre attempting to receive a free WIC breast pump, they may ask to verify your insurance plan to ensure youre not eligible for a breast pump through your provider. If you are eligible through insurance, theyll help you submit a claim. If not, WIC can provide a loaner breast pump or a free breast pump to keep.Most WIC locations offer breastfeeding support to mothers throughout all stages of the nursing journey, from birth through the process of weaning your baby. Visit your local WIC office to find out what resources are available in your area.

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If You Have Medicaid Or Chip

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  • If found eligible during your pregnancy, youll be covered for 60 days after you give birth. After 60 days, you may no longer qualify. Your state Medicaid or CHIP agency will notify you if your coverage is ending. You can enroll in a Marketplace plan during this time to avoid a break in coverage.
  • If you have Medicaid when you give birth, your newborn is automatically enrolled in Medicaid coverage, and theyll remain eligible for at least a year.

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Pregnancy And Newborn Services

Prenatal care is an important way to keep you and your baby healthy during your pregnancy. These regular checkups allow doctors to find and treat health problems early, if needed. They also help make sure your baby is growing and developing properly.

Its important to see a doctor if you are planning on becoming pregnant, or as soon as you know you are pregnant. If you need help finding an OB-GYN, we can help. Use our Find a Provider tool or call Member Services at 1-866-796-0530.

Please let us know when you are pregnant by logging in to our secure member portal and filling out a Notice of Pregnancy form.

Health Insurance Options For You

  • Medicaid: Free or very low cost insurance for New Yorkers with low income. Pregnant New Yorkers can qualify with higher income and regardless of immigration status.
  • Private/Qualified Health Plans: Insurance plans on the NY State of Health Marketplace and directly from insurance companies. If you are pregnant, you can enroll outside of the open enrollment period on the NY State of Health Marketplace.
  • Family Planning Extension Program: Program for people who have Medicaid while pregnant but who no longer qualify after their pregnancy.

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Medicaid Coverage And State

Private health insurance covers the cost of substance-use disorder treatment and services to varying degrees. Each insurer has its own policy, and insured individuals will need to refer to the policy of their respective insurance companies to determine the extent of services that are covered. Many women needing treatment, including pregnant women, may have once had private insurance but have lost that insurance. This section presents information for women who are uninsured, women who may qualify for Medicaid insurance, and women who are currently insured with Medicaid.

Medicaid Services for Women and Children

  • Medicaid for Infants and Children

Medicaid for Infants and Children provides medical coverage for children younger than 19 years old. The income limits are determined by the family size and the age of the child or children applying for benefits. There is no limit on resources.

  • Medicaid for Families with Dependent Children

Medicaid for Families with Dependent Children provides medical coverage for parent or other caretaker/relative with a child 18 years or younger in the household and for children under age 21. A pregnant woman may also qualify.

The family cannot have more than $3,000 in assets such as savings in the bank.

If the family income is above the cut-off and the child and/or family has high medical bills, the family might still qualify for Medicaid .

  • Medicaid for Pregnant Women

How Much Does Medicaid Cover For Pregnancy

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If you’re pregnant and enrolled in a Medicaid or CHIP plan, you’ll have coverage for prenatal medical care, labor and delivery and any medically necessary services you receive during that time. Federal regulations stipulate that all states must provide coverage for inpatient and outpatient hospital care during pregnancy. Other mandatory benefits include:

  • Nurse midwife services

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Checking Your Baby’s Hearing

Your baby’s ability to hear your voice and other sounds clearly may be affected for a variety of reasons. Doctors can test a baby’s full range of hearing to detect problems.

To help detect any hearing problems:

  • Pay attention to your baby’s response to sound.
  • If you have concerns, ask your doctor to refer you to someone who can test young infants for hearing impairment.

The sooner hearing loss is detected and treated, the better your child’s language development will be. Some hospitals even test babies’ hearing in the hospital before they are discharged!

Your Baby’s Medical Home

All babies need a “medical home.” A medical home is the doctor, nurse, physician’s assistant or healthcare team who takes care of your baby’s health as he or she grows and develops from an infant to a toddler, to a preschooler, and all throughout childhood and adolescence. A medical home is the place you always bring your baby for a check up or when your baby is sick. And, a medical home is the place where you go with questions and concerns about your baby’s health and development.

Health insurance is available for your baby and your older children, too. Children in your family who are 14 years of age or younger are eligible for Medicaid coverage if your family qualifies financially. All Medicaid-eligible children are provided with 12 months of continuous coverage, even if your family’s income exceeds eligibility levels during that period.

If you need health insurance to pay for your baby’s care, New York State’s Child Health Plus program can help.

Child Health Plus pays for:

  • Regular visits to the doctor
  • Visits to the doctor when your baby is sick
  • Hospital care for your baby if needed.

To be eligible for Child Health Plus:

  • You and your baby must live in New York State.
  • Your family must either have insurance that doesn’t cover your baby’s needs or have no health insurance.
  • Your children must be under the age of 19.

To find out more about Child Health Plus, call toll-free 1-800-698-4543.

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Pregnant Women Frequently Asked Questions

If I have a health question or concern, who should I call?

Health First Colorado offers a free 24-hour, 7 days a week Nurse Advice Line at 1-800-283-3221. Help is available in both English and Spanish.

What is the Nurse Home Visitor Program?

The Nurse Home Visitor Program is a special program for qualifying women who are pregnant with their first child. The program is also for these first children up to their second birthday. NHVP offers case management and health education services to moms and their first babies in order to help them get the medical and social services that they need.

How much are my co-pays?

You have no co-pays for Health First Colorado-covered services and prescriptions while you are pregnant and for two months after your pregnancy ends.

Can I get help to quit smoking?

  • Contact the Colorado QuitLine at 1-800-QUIT-NOW for free coaching and support.
  • Talk with your health care provider about the benefits and risks of taking smoking cessation medications while you are pregnant. Health First Colorado covers two 90-day courses of smoking cessation medication with counseling to help you quit.

Are prenatal vitamins covered?

Prenatal vitamins are a free benefit for all pregnant women. Talk with your health care provider about the benefits of taking a prenatal vitamin every day. A prescription is required.

Can I get transportation to my appointments?

Can I get help for depression?

How do I enroll my newborn in Health First Colorado?

Are breast pumps covered?

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  • Medicaid: State Medicaid provides medical coverage for low-income individuals, including pregnant women.
  • CHIP: The Childrens Health insurance Program provides health insurance to uninsured children.
  • Also, what do I do if Im pregnant with no insurance? If you dont have health insurance, you may be able to get low-cost or free prenatal care from Planned Parenthood, community health centers, or other family planning clinics. You might also qualify for health insurance through your state if youre pregnant.

    People ask , what insurance is best for pregnancy? There are three types of health insurance plans that provide the best affordable options for pregnancy: employer-provided coverage, Affordable Care Act plans and Medicaid.

    , can I add my girlfriend to my health insurance if she is pregnant? Unfortunately, the answer is likely no. Most insurance plans require that youre married in order to include a partner under your coverage, with some states providing exceptions for common law marriages.

    , can I get free insurance if Im pregnant? In most states, many pregnant women can get Medicaid coverage. Medicaid is a government program that provides free or low-cost health insurance to people with low income.


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    How Do I Get Insurance For My Newborn

    Due to personal incidents I recently missed the enrollment period to add my newborn daughter to my work health insurance plan and have to wait until November to enroll her. I appealed and they still refused to let me add her. Obviously I cant have my newborn without insurance for nearly a year. Is there a plan that I can sign her up for that will cover her up until November 2015. I just need coverage for her. My wife and I are currently covered by my health plan. I am a member of the military and will actually be deploying again in November/December of 2015.

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    Having A Baby On Medicaid

    First things first: Your insurance does not dictate your level of care, says Philadelphia-based health care consultant Kyana Brathwaite, R.N., who has over 20 years of experience in the medical field.

    Fortunately, many women note that, overall, prenatal and labor and delivery care is similar to care received through private insurance . But, anecdotally, there are differences.

    For one, Brathwaite explains that some health care providers have presumptions around Medicaid. “Sometimes people look at Medicaid on your chart and treat you as if you’re lazy and you’re just trying to live off the government,” she says. “They have no idea what your situation is.” She has experienced this and witnessed it herself.

    Suzanne Nelson, 48, of West Deptford, New Jersey, for one, who has had three children using both state and private insurance says that when she gave birth on Medicaid, she dealt with limited scheduling. Doctors at the Medicaid clinics also maintained private practices and gave priority to those patients over the low-income ones, she says.

    When she was on Medicaid, she also notes she was asked multiple times if she wanted to have her tubes tied. “My private doctor kept asking me to have more kids, but at the Medicaid facility, I felt judged and guilty, even though I was working part-time at a doctor’s office that didn’t offer benefits.”

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    See If Your Children Qualify And Apply For Chip

    Each state program has its own rules about who qualifies for CHIP. You can apply right now, any time of year, and find out if you qualify. If you apply for Medicaid coverage to your state agency, youll also find out if your children qualify for CHIP. If they qualify, you won’t have to buy an insurance plan to cover them.

    Family Planning Only Coverage

    How do I apply for Medicaid?

    Youre eligible to receive 10 months of Family Planning Only coverage after your pregnancy coverage ends, regardless of how it ends . This includes all forms of birth control, permanent methods to stop having children, and health checkups related to receiving birth control. This coverage is automatic.

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    Standard Pregnancy Care Package

    In general, midwives and midwife-led birth centers offer standard pregnancy care packages. This package covers the professional fee, all prenatal visits, labor and delivery care in a birth center, at home, or in a hospital, birth kits, newborn care and assessment, postnatal visits at two and six weeks postpartum, and phone consultations.

    This basic maternity care ranges from $3,000 to $6,000 and can vary substantially in other parts of the country. For a hospital birth, this fee does not include any charges incurred during the hospital stay.

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