Maternal Mental Health Billing and Reimbursement
The Policy Center is monitoring, studying and producing guidance and policy recommendations to improve maternity care reimbursement, including reimbursement for maternal mental health care.
Reimbursement & Billing
Share Your Maternal Mental Health Care/Claim/Payment Denial Story

Though many women have health insurance at the time of their maternal mental health challenges, insurance can still be a significant barrier to care.
If you’ve experienced trouble providing or receiving care due to insurance company policies, please take 2 minutes to share those experiences here. Your stories will help us drive change.
Reimbursement & Billing
Maternal Mental Health Care – Obstetric Provider Services Billing and Reimbursement Guide

The following guidance was developed for reference by payors and obstetric providers (midwives, Ob/Gyns and family practice providers who provide maternity care), culling together the latest behavioral health integration protocol, resources from clinical bodies and the National Committee for Quality Assurance, Healthcare Effectiveness Data and Information Set (HEDIS) measures for perinatal depression.
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The Policy Center’s Billing and Reimbursement work (as of October 2024) includes:
1. Releasing an Ob billing guide and reimbursement guide for billing MMH screening and services outside the maternity care global/bundle
2. Examining Medicaid models in states with the highest MMH HEDIS rates
3. Developing standards for value-based payment (FFS and APMs)
4. Tracking Fee-for-Service (FFS) claims submitted by Obs (using FAIRHealth) and including this in our state report cards
5. Conducting a 50-state Medicaid contract review regarding maternity care reimbursement for MMH
6. Updated our Government Agency Policy Fellows curriculum to include payment reform (we had several critical conversations about with 10 Medicaid agencies!)
7. Featured at an Axios event in December 2024 on implementing postpartum care through 12 months, including the need to address reimbursement
8. Spoke at a Clinton Global Initiative meeting in September 2024 about barriers and solutions to postpartum care reimbursement and financing. Several critical leaders were there including CMS Administrator, Chaquita Brooks-LaSure. Engaging with the Clinton Global Initiative and the U.S. of Care on next steps.
9. Creating a MMH payment reform backgrounder to be presented at the Maternal Mental Health FORUM on March 18-19
10. We are engaging with the American College of Obstetricians and Gynecologists on this work and looking to connect with the Midwifery organizations as well