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A new defense: the maternity waiver program.

K B Davis1

  • 1Alabama Medicaid Maternity Waiver Program, Alabama Medicaid Agency, Montgomery 36130.

Journal of Health & Social Policy
|December 10, 1991
PubMed
Summary
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The Maternity Waiver Program allows states to offer targeted prenatal care services, improving access and leading to healthier birth outcomes for women in designated counties.

Area of Science:

  • Health Policy
  • Maternal Health
  • Public Health Programs

Background:

  • The Health Care Financing Administration can grant "freedom-of-choice" waivers.
  • These waivers permit modifications to specific Social Security Act provisions, including statewide effectiveness, benefit scope, and provider choice.
  • States can implement targeted programs by adjusting these provisions.

Purpose of the Study:

  • To describe the structure and function of the Maternity Waiver Program.
  • To explain how waivers enable tailored maternity care delivery.
  • To highlight the program's goal of improving birth outcomes.

Main Methods:

  • Waiver of statewide effectiveness allows for county-by-county program implementation.
  • Waiver of benefit scope enables the provision of additional services (e.g., home visits) in specific areas.

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  • Waiver of freedom-of-choice facilitates the creation of primary provider networks for coordinated care.

    • Main Results:

    • The program enables states to direct women to specific providers for prenatal care.
    • Additional services can be offered in waiver counties compared to non-waiver counties.
    • Primary provider networks ensure comprehensive and coordinated maternity care from start to finish.

    Conclusions:

    • The Maternity Waiver Program is an effective policy tool for enhancing maternal healthcare access.
    • Targeted service delivery and coordinated care networks contribute to improved birth outcomes.
    • This waiver mechanism offers a flexible approach to addressing specific maternal health needs.