Women’s Health

The Institute for Medicaid Innovation’s (IMI) work in women’s health is informed, guided, and supported by an exceptional group of national experts representing academic and non-academic research institutions, advocacy and community organizations, clinician groups, Medicaid managed care organizations, state and federal policymakers, and, most importantly, Medicaid enrollees and their families. These collaborative relationships support our mission to improve the lives of Medicaid enrollees through the development, implementation, and diffusion of innovative and evidence-based models of care that promote quality, value, equity and the engagement of patients, families, and communities.

IMI has conducted research and led initiatives on a number of critical women’s health topics in Medicaid managed care, such as severe maternal morbidity, maternal depression and anxiety, preventing preterm birth, and the opioid crisis.  Publications and resources from the projects and initiatives are listed below.  

New: Doula and Perinatal Community Health Workers in Medicaid Learning Series

The Institute for Medicaid Innovation and Every Mother Counts are launching this comprehensive and actionable virtual learning series to equip state Medicaid agencies, Medicaid health plans, provider groups, professional associations, and other Medicaid stakeholders with an awareness of community-based doulas and perinatal community health workers and their services, the evidence supporting their benefits and cost-effectiveness, and their potential to improve health equity in Medicaid. Registration closes November 21, 2022. Get more information here.

High-Value, Evidence-Based Maternal Models of Care 

Report: Improving Maternal Health Access, Coverage, and Outcomes in Medicaid

Roadmap: Opportunities for Medicaid Stakeholders to Advance Midwifery-Led Models of Care

Checklist: Opportunities to Advance Midwifery-Led Models of Care: A Checklist for Medicaid Stakeholders

Release: IMI and EMC Launch National Birth Equity Learning Series on Community-Based Doulas and Perinatal Community Health Workers in Medicaid

Release: IMI Explores Innovative Practices in Perinatal & Child Health in Medicaid 

Report: Community-Based Maternal Support Services: The Role of Doulas and Community Health Workers in Medicaid

Checklist: Essential Elements for a Maternal Health Initiative Business Case

Graphics: Social Media Graphics from Improving Maternal Health Access, Coverage, and Outcomes in Medicaid

Virtual Learning Series on Midwifery-Led Care in Medicaid 

Overview: Maternal Models Virtual Learning Series

Session 1: High-Value, Evidence-Based Maternal Models of Care and Birth Equity

Session 2: Value Proposition for Midwifery-Led Care in Medicaid

Session 3: Licensure, Credentialing, and Contracting in Medicaid

Session 4: Launching and Operating Medicaid Focused Midwifery-Led Models of Care

Session 5: Aligning State Medicaid Initiatives with Midwifery-Led Models of Care 

Session 6: Building the Business Case to Support Birth Equity & Spark Policy Momentum

Session 7: Value-Based Purchasing and Alternative Payment Models: Payment Reform for Midwifery-Led Care

Session 8: Roadmap for Success: Action Steps for Launching High-Value, Evidence-Based Maternal Models of Care

Maternal Health Policies

Interactive Map:  State Policies to Improve Maternal Health Outcomes

Learning Collaborative on Midwifery-Led Care in Medicaid

Informational Flyer: Learning Collaborative on Midwifery-Led Care in Medicaid

Overview: Learning Collaborative on Midwifery-Led Care in Medicaid

Cancer Screening and Prevention

Fact Sheet: Impact of COVID-19 on Eligibility for the National Breast and Cervical Cancer Early Detection Program

Maternal Mortality & Morbidity

Workshop Proceedings:  Advancing Maternal Health Equity and Reducing Maternal Morbidty and Mortality (Pgs 126-132)

Report: Reversing the U.S. Maternal Mortality Crisis

Article: Race, Medicaid Coverage, and Equity in Maternal Morbidity

Article: Associations Between Comorbidities and Severe Maternal Morbidity

Report:  Trends and Disparities in Delivery Hospitalizations Involving Severe Maternal Morbidity, 2006-2015

Opioid Use

Article:  Opioid Crisis in Medicaid:  Saving Mothers & Babies

Report:  Addressing the Opioid Epidemic in Medicaid Managed Care for Women & Newborns

Fact Sheet:  Opioid Summit Infographic

Perinatal Mental Health (Depression & Anxiety)

Article:  Policy Opportunities To Improve Prevention, Diagnosis, And Treatment Of Perinatal Mental Health Conditions

Article: Mental Health Conditions Increase Severe Maternal Morbidity By 50 Percent And Cost $102 Million Yearly In The United States

Podcast: Perinatal Mental Illness is Very Common. How Can It Be Improved?

Release Event:  Health Affairs Briefing Perinatal Mental Health

Medicaid Enrollee Interview: Navigating Mental Health Services While Pregnant

Report:  Innovation in Maternal Depression and Anxiety:  Medicaid Initiatives in California and Nationwide Report

Fact Sheet:  Innovation in Maternal Depression and Anxiety:  Medicaid Initiatives in California and Nationwide Summary

Pre-Term Birth

Article: County-level Variation in Low–birth Weight and Preterm Birth: An Evaluation of State Medicaid Expansion Under the Affordable Care Act

Report: Preventing Preterm Birth: An Update for Medicaid MCOs on Utilization of Progesterone 

Article:  Association of State Medicaid Expansion Status with Low Birth Weight and Preterm Birth

     JAMA Editor's Note on Article:  Medicaid Expansion and Birth Outcomes

Article:  Variation in Coverage for Progesterone to Prevent Pre-Term Birth:  A Survey of Medicaid Managed Care Organizations

Report:  Preventing Pre-Term Birth:  Access to Progesterone in Medicaid Managed Care Report

Clinical Decision Aid:  Preventing Pre-Term Birth:  Access to Progesterone in Medicaid Managed Care Clinical Decision Aid

4th Trimester Care

Article:  Extending Medicaid Coverage for Postpartum Moms

Reproductive Health

Commentary: Long-Acting Reversible Contraception in Medicaid: Where Do We Go From Here?

Report: Advancing Person-Centered LARC Access Among the Medicaid Population

Report:  Challenges & Opportunities in Women's Health Care Coverage, Access, and Delivery in Medicaid

Article:  Disparities by Sex Tracked in the 2015 National Healthcare Quality and Disparities Report:  Trends Across National Quality Strategy Priorities, Health Conditions, and Access Measures

Report:  Medicaid Managed Care and Reproductive Health Care Services for Women


The Institute for Medicaid Innovation (IMI) recognizes that there are individuals who become pregnant and give birth who might not identify as women. Individuals who identify as women may also depend on a diverse set of health care needs. The above reports frequently use the words “woman,” “women,” and “maternal.” This includes transgender, gender non-conforming, and non-binary individuals who might need the suite of care services related to pregnancy, birth, and postpartum care. Also, “maternal care” in these documents includes all individuals who require such services. The documents use the pronouns “they/them/theirs” whenever possible in recognition of the gender-diverse population who may be included in maternal care. IMI has attempted to create resources that are gender-neutral, limiting gendered language and only using such terms when necessary to conform with language specified in Medicaid requirements, statutes/policy language, and cited research and data. IMI hopes to create resources that are inclusive of all individuals in the Medicaid community and their diverse health care needs.