Nh Medicaid Waiver Programs Illinois' title='Nh Medicaid Waiver Programs Illinois' />Healthcare Utilization in the Postpartum Period Among Illinois Women with Medicaid Paid Claims for Delivery, 2. Increasing receipt of postpartum care is a major national priority for improving womens and infant health outcomes, linking women to well woman care, and improving womens health in the interconception period and beyond. FUSA_50_State_Infographics_IL.png' alt='Nh Medicaid Waiver Programs Illinois' title='Nh Medicaid Waiver Programs Illinois' />Please use the Search below to identify businesses and individuals by name. Hp Pavilion Dv9700 Graphics Drivers Windows 7 there. We advise that you do not take any action on a provider until you have verified their status. Stephen Group maintains a dedicated government and business intelligence consulting team with years of experience working in and out of government, which provides. Medicaids coverage for home care, adult day care and other nonresidential care, a statebystate guide to coverage, waivers, benefits, eligibility and enrollment. This study sought to describe patterns of care in the postpartum period for women served by Illinois Medicaid to inform strategies for improving the capacity of postpartum care to meet womens complex and varied needs during this vulnerable period. Results suggest that 8. Medicaid paid deliveries in Illinois in 2. In addition, almost half of all women had two or more encounters, and over a quarter experienced their first visit within the first 3 weeks postpartum. Consistent with numerous other health status and health services outcomes 2. African American women and those living in high poverty communities experiencing the lowest rates of any and early visits. These disparities are evident even among women with equalized access to health insurance through Medicaid. It is clear that targeted efforts are needed to improve receipt of postpartum care among African American and low income women. Further research with a more robust data source is needed to identify modifiable factors at the health system, provider, and patient levels that contribute to disparities to ensure the effectiveness of targeted strategies for improving utilization among African American and impoverished women. The Compliance Store Complete webbased healthcare compliance info. National Park Service Federal Parks Land The U. S. National Park System NPS, Corps of Engineers CoE, Bureau of Land Management BLM and a few other Federally. While current clinical guidelines recommend a 46 week postpartum visit 2, these results suggest that womens actual care patterns vary, likely reflecting differential needs during the postpartum period. It is important to acknowledge that the ACOGAAP guidelines do suggest that care interval may be modified for women with complications, and recommend a visit in the first 71. Despite this, the HEDIS measure for postpartum care has been defined narrowly to include only the period between 2. The broader definition utilized in this study of non acute care received between hospital discharge and 9. HEDIS measure for IL Medicaid 8. Illinois Department of Healthcare and Family Services 1. The consistently low HEDIS estimates for Medicaid women have led to concern that low income women do not seek postpartum care or experience barriers preventing them from attending a visit. However, the findings of this study suggest that all but nineteen percent of women encountered the healthcare delivery system at least once in the first three months postpartum for reasons other than acute illness. The challenge posed to the healthcare delivery system is to ensure that womens encounters with the healthcare system during the postpartum period are maximized and, to the extent possible, inclusive of the full complement of services needed to ensure that womens postpartum healthcare needs are addressed. Unfortunately, this study was not able to ascertain the extent to which all recommended aspects of postpartum care i. For example, in this study, having a claim for a postpartum depression screen qualified as postpartum care per criterion 2, but through examination of the raw data, many of these screens were the only service on that date. These could represent depression screenings that occurred at the infants Well Baby Visit WBV 1. However, innovative efforts to co locate additional services for women at the WBV, such as family planning referrals or services 6, 3. The higher estimates for receipt of care in this study, compared to HEDIS estimates, was largely the result of expanding the 2. The length of the postpartum period is not well defined, but women still have documented needs as of the third month postpartum and beyond 2. For Medicaid women in particular, receipt and timing of care has historically been tied to coverage. Since the 1. 99. 0s, many women with Medicaid coverage for pregnancy lost coverage 6. Illinois, over 5. In addition, postpartum women losing Medicaid coverage were automatically enrolled in IHW, Illinois family planning waiver, which covered important preventive care, including screenings and contraceptive counseling. As a result of the Patient Protection and Affordable Care Act ACA, many more women will remain Medicaid eligible after 6. Illinois, that expanded Medicaid eligibility to 1. FPL or because they have coverage through the marketplace. In states that offer this expansion of coverage, the healthcare delivery system has increased leverage to ensure that women receive the postpartum and interconception care they need. Despite calls for earlier and more postpartum visits 1, 3, 1. Medicaid programs, including Illinois, reimburse providers for only one traditional 46 week postpartum visit per woman 1. The results of this study suggest that providers may already be meeting womens needs for earlier and more frequent visits, but are billing many of these as traditional office visits and other postpartum services, rather than billing for multiple routine postpartum visits, to ensure they are reimbursed. This has implications for Medicaid policy changes related to reimbursing for more than one postpartum visit. It appears that, in Illinois, Medicaid is already paying for more than one visit in the postpartum period for almost half of eligible beneficiaries, so costs may not rise substantially if the policy is changed to explicitly reimburse for more than one routine postpartum visit per woman. While access to multiple postpartum visits should be increased, women not desiring or needing more than one visit should not be unduly burdened to return for more. In this study, some of the individual patterns for women receiving three or more visits suggested that women may have been required to return on multiple occasions to have all of their needs met. For example, Woman 6 had a routine postpartum visit at the recommended time, with STI screening, then returned 1 week later to have an IUD placed presumably after she was confirmed negative for STIs. Clinical guidelines have since changed regarding the need for a negative STI screen prior to IUD insertion 9, so women should be offered a same day IUD at the postpartum visit if they so desire and are otherwise eligible. Clearly, efforts to improve postpartum care should strive for increased flexibility to meet womens varied needs in the most convenient way possible 2. To the authors knowledge, this is the first study using claims data to examine patterns of timing and frequency of care in the postpartum period among women with Medicaid paid deliveries. This was possible because the Illinois Medicaid program does not bundle reimbursement for prenatal, delivery, and postpartum care with global obstetric CPT codes, as is the case in many other state Medicaid programs. Therefore, dates for all clinical encounters in the postpartum period were available. Other strengths of this study include its population based focus and the large sample size of low income women with Medicaid paid deliveries in Illinois. This study was also subject to limitations, including timeliness of the data. At study start, MAX data were only available through 2. In addition, claims reimbursed by state funds only e. CHIP program enrollees were not reported by IDHFS to the CMS MSIS prior to 2. MAX files. Therefore, the deliveries reported here are a subset of those paid by IDHFS and do not generalize to the entire population of Medicaid deliveries. Nonetheless, women eligible due to a disability, poverty, or the pregnancy expansion to 2. FPL make up the bulk of Medicaid paid deliveries and are represented. The data quality for Medicaid eligibility categories was deemed insufficient for describing postpartum visit rates by eligibility category and over five percent of the sample was missing raceethnicity. The data quality of non missing data for raceethnicity and other demographic variables is unknown.