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.
| State | Coverage after pregnancy | How the state did it | Document |
|---|---|---|---|
| Alabama | 12 months | State plan amendment | source |
| Alaska | 12 months | State plan amendment | source |
| Arizona | 12 months | State plan amendment | source |
| Arkansas | 60 days (federal minimum) | Not extended | source |
| California | 12 months | State plan amendment | source |
| Colorado | 12 months | State plan amendment | source |
| Connecticut | 12 months | State plan amendment | source |
| Delaware | 12 months | State plan amendment | source |
| District of Columbia | 12 months | State plan amendment | source |
| Florida | 12 months | Section 1115 waiver | source |
| Georgia | 12 months | State plan amendment | source |
| Hawaii | 12 months | State plan amendment | source |
| Idaho | 12 months | State plan amendment | source |
| Illinois | 12 months | State plan amendment | source |
| Indiana | 12 months | State plan amendment | source |
| Iowa | 12 months | State plan amendment | source |
| Kansas | 12 months | State plan amendment | source |
| Kentucky | 12 months | State plan amendment | source |
| Louisiana | 12 months | State plan amendment | source |
| Maine | 12 months | State plan amendment | source |
| Maryland | 12 months | State plan amendment | source |
| Massachusetts | 12 months | State plan amendment | source |
| Michigan | 12 months | State plan amendment | source |
| Minnesota | 12 months | State plan amendment | source |
| Mississippi | 12 months | State plan amendment | source |
| Missouri | 12 months | State plan amendment | source |
| Montana | 12 months | State plan amendment | source |
| Nebraska | 12 months | State plan amendment | source |
| Nevada | 12 months | State plan amendment | source |
| New Hampshire | 12 months | State plan amendment | source |
| New Jersey | 12 months | Section 1115 waiver | source |
| New Mexico | 12 months | State plan amendment | source |
| New York | 12 months | State plan amendment | source |
| North Carolina | 12 months | State plan amendment | source |
| North Dakota | 12 months | State plan amendment | source |
| Ohio | 12 months | State plan amendment | source |
| Oklahoma | 12 months | State plan amendment | source |
| Oregon | 12 months | State plan amendment | source |
| Pennsylvania | 12 months | State plan amendment | source |
| Rhode Island | 12 months | State plan amendment | source |
| South Carolina | 12 months | State plan amendment | source |
| South Dakota | 12 months | State plan amendment | source |
| Tennessee | 12 months | Section 1115 waiver | source |
| Texas | 12 months | State plan amendment | source |
| Utah | 12 months | State plan amendment | source |
| Vermont | 12 months | State plan amendment | source |
| Virginia | 12 months | Section 1115 waiver | source |
| Washington | 12 months | State plan amendment | source |
| West Virginia | 12 months | State plan amendment | source |
| Wisconsin | 12 months (since July 1, 2026) | State action | source |
| Wyoming | 12 months | State plan amendment | source |
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.