State Report Cards
to close gaps in maternal and mental health care
State Report Cards
Providing a comprehensive view into the state of maternal mental health in America.
The U.S. has made incremental progress, with an overall grade of a C-, improving slightly from a D+ in 2024.
The report card grades states in three domains:
- Providers and Programs
- Screening and Screening Reimbursement
- Insurance Coverage and Treatment
Up to four points are provided for each of the 20 measures within these domains. See how your state ranks in this year’s Report Card.
2025 Maternal Mental Health State Report Card
The US is failing to adequately support Maternal Mental Health:
National Grade of C-
19 states earned Ds and Fs
No states earned A’s
Click around the map below to see a state’s grade or use the dropdown
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Wyoming –
2025 Report Card
Providers and Programs
D
-
Meets ratio of non-prescriber MMH providers to perinatal population (5 per 1,000 births)
-
Meets ratio of MMH prescribers to perinatal population (1 per 5,000 births)
-
Has at least one inpatient or residential MMH treatment program
-
Has at least one MMH intensive outpatient program (IOP) or partial hospitalization program (PHP)
-
Has or has had a state-sanctioned MMH Task Force or Commission
-
Meets ratio of community-based organizations (CBOs) providing direct service for MMH (at least 1 per 50,000 births)
-
State Perinatal Quality Collaborative (PQC) has prioritized MMH
Screening & Screening Reimbursement
D
-
Top performer on the HEDIS “prenatal depression screening” measure (among commercial insurance and/or Medicaid)
-
Top performer on the HEDIS “postpartum depression screening” measure (among commercial insurance and/or Medicaid)
-
Medicaid requires MCOs to report “prenatal depression screening” HEDIS measure
-
Medicaid requires MCOs to report “postpartum depression screening” HEDIS measure
-
Maternity providers submit claims to private insurers for prenatal MMH screening (among at least 1% of prenatal patients)
-
Maternity providers submit claims to private insurers for postpartum MMH screening (among at least 1% of postpartum patients)
Insurance Coverage & Treatment Payment
D
-
Expanded Medicaid
-
Extended Medicaid coverage to one year postpartum
-
Requires health plans to develop an MMH quality management program
-
Maternity providers submit claims to private insurers for prenatal MMH treatment
-
Maternity providers submit claims to private insurers for postpartum MMH treatment
-
State provides enhanced Medicaid reimbursement or state investment in group prenatal care (New in 2025)
-
Medicaid coverage of group parenting programs (New in 2025)
Suggested Citation:
The Policy Center for Maternal Mental Health. (2024, May). Maternal Mental Health State Report Card (2024). https://www.policycentermmh.org/state-report-cards