Understanding Texas’ Maternal Healthcare: Medicaid Pregnancy Coverage

Texas’ maternal health outcomes are some of the worst in the nation. High rates of mortality and morbidity continue at an all-time high among pregnant women. For many Texas women, Medicaid coverage is the only affordable option for receiving the maternal care they need during pregnancy. However, understanding Medicaid eligibility in Texas for pregnancy can be confusing and complex. Here, we discuss what pregnant women in Texas need to know about Medicaid pregnancy coverage, as well as the impact of Medicaid on maternal health outcomes in the state.

What is Texas’ Maternal Mortality Rate?

Texas’ maternal mortality rate (MMR) is an alarming indicator of the state’s poor maternal health outcomes. According to the Centers for Disease Control and Prevention (CDC), the MMR for Texas was the highest in the nation in 2015, with a rate of 32.3 deaths per 100,000 live births. This rate is more than double the national MMR, which was 14.6 in 2015.

In response to these troubling figures, the state of Texas launched the Texas Maternal Mortality and Morbidity Task Force in 2013. The task force was charged with studying the causes of maternal mortality and making recommendations to improve outcomes.

What is Texas’ Medicaid Pregnancy Coverage?

Medicaid is a government health insurance program for low-income individuals and families, including pregnant women. In Texas, Medicaid is administered through the state Health and Human Services Commission (HHSC).

In order to be eligible for Medicaid in Texas, pregnant women must meet certain income and resource requirements. For example, a pregnant woman must have a household income at or below 133% of the federal poverty level. Additionally, the pregnant woman’s resources, such as bank accounts and investments, must not exceed $2,000.

If a pregnant woman meets the income and resource requirements, she may be eligible for full Medicaid coverage for her pregnancy and post-partum care. This coverage includes physician visits, labor and delivery care, and post-partum care.

How Does Medicaid Impact Maternal Health Outcomes in Texas?

The Texas Maternal Mortality and Morbidity Task Force has found that Medicaid coverage is an important factor in improving maternal health outcomes in Texas. Studies have found that pregnant women who have Medicaid coverage are more likely to seek prenatal care. This can improve pregnancy and childbirth outcomes.

Did you recently lose your Medicaid coverage? Reach out to a Healthedly agent today to learn more about options available to you. Call us at 855-522-2201.