Medicaid for Pregnant People

If you are pregnant, there are two options for Medicaid coverage: Maternity Outpatient Medical Services (MOMS) Medicaid and Pregnancy Medicaid. The income eligibility for each is 200% of the federal poverty level (FPL); your immigration status determines which Medicaid plan you can select. View qualifying income levels for MOMS and Pregnancy Medicaid here.

MOMS Medicaid covers the costs of your pregnancy, including prenatal care, labor and delivery, and 2 months of postpartum care.

Pregnancy Medicaid is full Medicaid and covers all pregnancy-related care and other health care needs during pregnancy and for 12 months after the end of the pregnancy.

Who is eligible for MOMS Medicaid and Pregnancy Medicaid?

Pregnant people whose household income is 200% FPL or below. When determining a household size, the pregnant person counts as two household members; if you have twins, count three household members. View qualifying income levels for MOMS and Pregnancy Medicaid here.

MOMS Medicaid is for:

• Anyone who does not have eligible immigration status for full Medicaid
• People who hold Permanent Resident Green Cards and have been here for less than 5 years
• People with Employment Authorization Documents or work permits
• People with visitor visas
• People with no immigration status or expired or in-process immigration documents

Pregnancy Medicaid is for:

• People who are U.S. citizens
• People who are asylees and refugees
• People who have Permanent Resident Cards who have been here for more than 5 years.

What services do MOMS Medicaid and Pregnancy Medicaid cover?

MOMS Medicaid covers prenatal, labor and delivery, and 2 months of care after the end of the pregnancy. It only covers medical services related to pregnancy. For example, if you break your arm, your MOMS Medicaid won’t cover it.

Pregnancy Medicaid covers prenatal, labor and delivery, and 12 months of care after the end of the pregnancy. Pregnancy Medicaid is full Medicaid with a higher income eligibility limit. Pregnancy Medicaid will cover the cost of a broken arm.

For both types of Medicaid for Pregnant People, the baby automatically receives 12 months of Medicaid coverage. Submit the Proof of Birth to MDHHS and your baby will be enrolled. Washtenaw Health Plan staff can assist with this process. We can also verify your baby’s Medicaid coverage start date and ID number.

How much do MOMS Medicaid and Pregnancy Medicaid cost?

There is no cost for MOMS Medicaid or Pregnancy Medicaid.

How do I get MOMS Medicaid and Pregnancy Medicaid?

The first step is to apply for Medicaid. (If you are approved, you should then enroll in Medicaid.)

APPLY
Apply as soon as you know you are pregnant. If needed, you can request three months of retroactive coverage.

You will need to ask a healthcare provider for a verification of pregnancy form with an Estimated Due Date (EDD). Free pregnancy testing is available at the Washtenaw County Health Department.

If you are uninsured, apply online through MIBridges, complete a paper application, or call to apply over the phone at 1-855-789-5610.

If you are enrolled in Medicaid for Emergency Services Only (ESO), submit your proof of pregnancy with an Estimated Due Date (EDD) document. MDHHS will update your Medicaid ESO to MOMS Medicaid.

If you are enrolled in full Medicaid, submit your proof of pregnancy with an Estimated Due Date (EDD) document.

The Washtenaw Health Project can help with your application. Make an appointment by calling 734-544-3030 or emailing us at whp@washtenaw.org.

Within 15 days you should hear from MDHHS (the Michigan Department of Health and Human Services) about whether you’re approved. If you haven’t heard back after that, we can check your application’s status. You can also visit your local MDHHS office or check in your MIBridges account.

After you are approved for Pregnancy Medicaid, you need to sign up for a Medicaid Health Plan to use your Medicaid benefits.

For MOMS Medicaid, you do not choose a Medicaid Health Plan.

ENROLL
Enroll by signing up for a Medicaid Health Plan. Michigan Enrolls sends you a MiHealth card and information about how to register for your plan.

If your letter does not include a green and blue MiHealth card, you probably had Medicaid in the past. Order a new card or request one when you call Michigan Enrolls to select your Medicaid Health Plan. (Your Medicaid ID number does not change.)

Do I have to renew MOMS Medicaid and Pregnancy Medicaid?

You do not have to renew MOMS Medicaid and Pregnancy Medicaid. When you are enrolled, your coverage continues for 2 or 12 months after the end of the pregnancy (see the question about services above).

Washtenaw Health Project can help you with Medicaid!

Read more about the Healthy Michigan Plan