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BEM 657 1 of 3 MATERNITY OUTPATIENT MEDICAL SERVICES (MOMS) BPB 2016-011 7-1-2016
BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
DEPARTMENT POLICY Maternity Outpatient Medical Services (MOMS) is a health coverage program operated by the Department of Health and Human Services (DHHS). MOMS provides prenatal and postpartum outpatient pregnancy- related services to women who are pregnant or recently pregnant and are eligible for Medicaid Emergency Services Only (ESO). COVERAGE PERIOD Pregnant or recently pregnant Medicaid ESO beneficiaries receive prenatal care along with medically necessary ambulatory postpartum care for 60 days after the pregnancy ends regardless of the reason. TARGETED POPULATION Women who are pregnant or within two calendar months following the month pregnancy ended and are: Eligible for Medicaid emergency services only. Applicants for Medicaid whose income, after deductions, appears to be at or below 195 percent of the federal poverty level. APPLICATION FOR MOMS The DCH-1426, Application for healthcare coverage and help paying costs, is required for MOMS eligibility. Local health departments, federally qualified health centers, and other trained providers assist pregnant women with applications for Medicaid: Assisting the woman over the telephone and making appointments with eligible/interested women. Advising the applicant of any verification requirements and assisting in securing any required documentation.