MedicaidAdministrativeMedium impact
Changes to Claims Submissions for Prenatal and Postpartum Services
Healthfirst·NY · OB-GYN, Family Medicine·Provider Update
We identified it
Jun 20, 2026
Summary
New York State Department of Health is requiring changes to claims submissions for prenatal and postpartum services for Medicaid, Personal Wellness Plans (HARP), Medicaid Advantage Plans, and Connection Plan lines of business. The changes are intended to help understand the timing and delivery of perinatal services.
Action Required
Immediately: Billing team must review the detailed billing guidance at the source URL to understand specific claims submission requirements for prenatal and postpartum services. Update billing procedures for affected New York Medicaid plan types to comply with new submission requirements.