Glossary

Term · California: Leave, Money, and Paperwork

Medicaid

Also: Medicaid coverage

The federal and state health coverage program for people with low incomes, including many pregnant people. In California it is called Medi-Cal.

In plain words

Medicaid is a joint federal and state health insurance program for people with low incomes. Pregnancy is one of the groups it must cover. States run their own versions under federal rules. In California, the program is called , and the state Department of Health Care Services runs it. Medi-Cal covers prenatal care, birth, and postpartum care for eligible people. Coverage for a newborn can follow from the birth. Eligibility depends on income and household size, and the limits are set as a percentage of the . Those figures change. Medicaid is different from Medicare, which is mainly for older adults and some people with disabilities.

The deeper version

Medicaid was created by Title XIX of the Social Security Act in 1965 and is financed jointly by federal and state governments, with federal matching rates set by formula. Pregnancy is a mandatory eligibility category with a federal income floor, and states may set higher standards. Expansions under the and later federal options, including extended postpartum coverage, have shaped enrollment. Medicaid covers a large share of US births, so it is central to research on postpartum coverage gaps and continuity. Debate centers on payment rates, provider participation, and what happens to coverage after the postpartum period.

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Sources

  • US Congress — Social Security Act, Title XIX (Medicaid), 1965
  • Centers for Medicare and Medicaid Services — Medicaid and CHIP pregnancy-related coverage guidance

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