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Prenatal & Postpartum Care: Postpartum Care

Medicaid is the largest payer for maternity care in the United States. The program has an important role to play in improving maternal and perinatal health outcomes. Timely postpartum visits provide an opportunity to assess a woman’s physical recovery from pregnancy and childbirth.

Postpartum visits screen for:

  • Chronic health conditions, such as diabetes and hypertension
  • Mental health status, including postpartum depression
  • Family planning, including contraception and inter-conception counseling

Explore the percentage of deliveries with a timely postpartum care visit after delivery. Higher rates are better.

The purple dashed line represents the median, or middle of all values reported.

This measure reports the percentage of deliveries of live births with a timely postpartum care visit after delivery.

This measure defines timely postpartum care as happening between 21 and 56 days after delivery.

States voluntarily report Postpartum Care (PPC-AD) as part of the Core Set of Adult Health Care Quality Measures. These data show performance rates for states that voluntarily reported the measure using Adult Core Set measure specifications.

The included populations for Adult Core Set measures can vary by state. For example, some states report data on certain populations such as those covered under managed care but not those covered under fee-for-service (FFS). This variation in data and calculation methods can affect measure performance and comparisons between states.

Prenatal & Postpartum Care: Postpartum Care

Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports as of June 3, 2019 for the Adult Core Set Federal Fiscal Year (FFY) 2018 reporting cycle; see 2018 Child and Adult Health Care Quality Measures. For more information about Postpartum Care (PPC-AD) visit Adult Health Care Quality Measures.

Notes:

The following states did not report data to the Centers for Medicare & Medicaid Services (CMS) for this measure: AK, AL, AR, AZ, CO, GA, ID, IN, ME, MT, ND, NE, SD, and VT.

The Adult Core Set specifications include guidance for calculating this measure using the administrative method or the hybrid method. The hybrid method uses a combination of administrative and medical records data to identify services included in the numerator or to determine exclusions from the denominator based on diagnoses or other criteria. Unless otherwise specified, administrative data sources are the state’s Medicaid Management Information System (MMIS) and/or data submitted by managed care plans; medical record data sources are paper and/or electronic health records.

Unless otherwise specified:

  • States used Adult Core Set specifications, based on National Committee for Quality Assurance (NCQA) 2018 specifications. The following states used NCQA 2017 specifications: NV and OR.
  • Denominators are assumed to be the measure-eligible population for states using the administrative method; states using the hybrid method often reported the sample size for the medical chart review rather than the measure-eligible population. Some states reported exclusions from the denominator, as noted in the state-specific comments.
  • The measurement period for this measure was November 1, 2016 to November 30, 2017. NV reported data for Calendar Year (CY) 2017.

AHRQ = Agency for Healthcare Research and Quality; CCO = Coordinated Care Organization; CHIP = Children’s Health Insurance Program; CMS = Centers for Medicare & Medicaid Services; CMO = Care Management Organization; CY = Calendar Year; ED = Emergency Department; EHR = Electronic Health Record; EQRO = External Quality Review Organization; FFS = Fee for Service; FFY = Federal Fiscal Year; HEDIS = Healthcare Effectiveness Data and Information Set; HMO = Health Maintenance Organization; ICD = International Classification of Diseases; LOINC = Logical Observation Identifiers Names and Codes; MACPro = Medicaid and CHIP Program System; MCO = Managed Care Organization; MMIS = Medicaid Management Information System; NCQA = National Committee for Quality Assurance; NR = Not Reported; PCCM = Primary Care Case Management; PCP = Primary Care Practitioner.