Proof of income requirement may delay program to help low-income pregnant women get care

The head of Mississippi Medicaid told lawmakers on Thursday that the agency is working with the federal government to get approval of a new law that allows uninsured, low-income women short-term Medicaid coverage while they wait for their application to be approved.

The program, called presumptive eligibility for pregnant women, has been hailed as a way to get pregnant women earlier access to prenatal care in states that have not expanded Medicaid and to mitigate bad health outcomes for mothers and babies.

Mississippi is one of 10 states in the nation not to expand Medicaid under the Affordable Care Act.

Mississippi lawmakers wrote in the bill that women must provide proof of income before qualifying for presumptive eligibility, which is potentially at odds with federal regulations.

“CMS (Centers for Medicare and Medicaid Services) does not like proof of income or proof of pregnancy,” Medicaid Executive Director Drew Snyder said Thursday in an annual legislative budget meeting. “To the current federal administration, a person’s word should be sufficient to get the temporary pregnancy coverage … I’m hopeful that we’ll be able to come to a resolution that is faithful to the state law and satisfies federal expectations.”

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