Medicaid after birth · 2026

Postpartum Medicaid coverage by state (2026)

49 states and DC now keep Medicaid or CHIP coverage for 12 months after a pregnancy ends. Arkansas is the only state still at the federal minimum of 60 days. Wisconsin’s 12-month coverage started July 1, 2026. A baby born to a mother on Medicaid is covered automatically until the first birthday, with no application.

50 of 51states + DC with 12 months of coverage
60 daysin Arkansas, the federal minimum
July 1, 2026Wisconsin joined
Age 1newborns covered with no application
Medicaid and CHIP coverage after pregnancy, by state (as of October 2026)
StateCoverage after pregnancyHow the state did itDocument
Alabama12 monthsState plan amendmentsource
Alaska12 monthsState plan amendmentsource
Arizona12 monthsState plan amendmentsource
Arkansas60 days (federal minimum)Not extendedsource
California12 monthsState plan amendmentsource
Colorado12 monthsState plan amendmentsource
Connecticut12 monthsState plan amendmentsource
Delaware12 monthsState plan amendmentsource
District of Columbia12 monthsState plan amendmentsource
Florida12 monthsSection 1115 waiversource
Georgia12 monthsState plan amendmentsource
Hawaii12 monthsState plan amendmentsource
Idaho12 monthsState plan amendmentsource
Illinois12 monthsState plan amendmentsource
Indiana12 monthsState plan amendmentsource
Iowa12 monthsState plan amendmentsource
Kansas12 monthsState plan amendmentsource
Kentucky12 monthsState plan amendmentsource
Louisiana12 monthsState plan amendmentsource
Maine12 monthsState plan amendmentsource
Maryland12 monthsState plan amendmentsource
Massachusetts12 monthsState plan amendmentsource
Michigan12 monthsState plan amendmentsource
Minnesota12 monthsState plan amendmentsource
Mississippi12 monthsState plan amendmentsource
Missouri12 monthsState plan amendmentsource
Montana12 monthsState plan amendmentsource
Nebraska12 monthsState plan amendmentsource
Nevada12 monthsState plan amendmentsource
New Hampshire12 monthsState plan amendmentsource
New Jersey12 monthsSection 1115 waiversource
New Mexico12 monthsState plan amendmentsource
New York12 monthsState plan amendmentsource
North Carolina12 monthsState plan amendmentsource
North Dakota12 monthsState plan amendmentsource
Ohio12 monthsState plan amendmentsource
Oklahoma12 monthsState plan amendmentsource
Oregon12 monthsState plan amendmentsource
Pennsylvania12 monthsState plan amendmentsource
Rhode Island12 monthsState plan amendmentsource
South Carolina12 monthsState plan amendmentsource
South Dakota12 monthsState plan amendmentsource
Tennessee12 monthsSection 1115 waiversource
Texas12 monthsState plan amendmentsource
Utah12 monthsState plan amendmentsource
Vermont12 monthsState plan amendmentsource
Virginia12 monthsSection 1115 waiversource
Washington12 monthsState plan amendmentsource
West Virginia12 monthsState plan amendmentsource
Wisconsin12 months (since July 1, 2026)State actionsource
Wyoming12 monthsState plan amendmentsource

What does 12 months of postpartum coverage mean?

If Medicaid or CHIP covered you while you were pregnant, you stay covered for 12 months after the pregnancy ends, even if your income goes up. Without an extension, federal law only requires coverage through 60 days after the pregnancy ends.

Why do almost all states offer it now?

The American Rescue Plan Act of 2021 let states extend postpartum coverage to 12 months from April 2022. The Consolidated Appropriations Act, 2023 made that option permanent. Most states adopted it through a state plan amendment; Florida, New Jersey, Tennessee and Virginia used a Section 1115 waiver or their own authority.

Is my baby covered too?

Yes, if you had Medicaid when you gave birth. Federal rules cover the baby from birth to the first birthday without an application, even if your situation changes. Report the birth to your state Medicaid office so the baby gets an ID card. See the newborn paperwork checklist for the other deadlines.

Sources: KFF Medicaid Postpartum Coverage Extension Tracker (as of July 15, 2026, compiling CMS approvals), state documents linked in the table, 42 CFR 435.117 (newborns), Public Law 117-328, sec. 5113.

Last verified October 5, 2026 against official sources: KFF tracker, Wisconsin Governor (July 2026), each state Medicaid document.

Cite this page: This Mom, “Postpartum Medicaid Coverage by State (2026)”, thismom.com/postpartum-medicaid-by-state/ (updated ). Data free to reuse under CC BY 4.0 with a link to the page.