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Old 01-12-2012, 08:38 AM   #11
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Re: Did anyone have Medicaid and do Homebirth?

Michigan will not cover a facility fee if it is a freestanding birth center or the supplies. For a home birth they will not cover the supplies, but everything else they will if I remember correctly.

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Old 01-12-2012, 04:16 PM   #12
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Re: Did anyone have Medicaid and do Homebirth?

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Originally Posted by mama2myangels09 View Post
Michigan will not cover a facility fee if it is a freestanding birth center or the supplies. For a home birth they will not cover the supplies, but everything else they will if I remember correctly.
Really?!? I just assumed that they wouldn't, but that would be AWESOME if they did! Do you know where I would get this information? I guess I could call the number on my insurance card. I have Medicaid, but a specialty plan on top of that with United Healthcare. I will have to look into that! I would LOVE if they would cover what I would owe the midwife for a home birth!
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Old 01-12-2012, 04:33 PM   #13
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Re: Did anyone have Medicaid and do Homebirth?

I believe they must be a CNM for it to be covered by MI medicaid.
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Old 01-12-2012, 04:47 PM   #14
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Re: Did anyone have Medicaid and do Homebirth?

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I believe they must be a CNM for it to be covered by MI medicaid.
Yeah I forgot that part too. I read it on www.mothersownbirth.com under her financial agreement.

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Ohio and Michigan Medicaid
At this time neither Ohio nor Michigan Medicaid reimburse facility or supply fees for out of hospital
birth. The facility fee is $1825 if you choose to birth at the birth center. There is a supply fee of $825
which includes tub rental, assistant fees, and routine supplies if you are planning a home birth. As with all
our families, we are willing to work out payment plans, but these fees are your responsibility.
It says Ohio cause she is near there.
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Old 01-12-2012, 04:59 PM   #15
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Re: Did anyone have Medicaid and do Homebirth?

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Yeah, I was counting on paying her for a home birth, I'm pretty sure they don't cover that here. Luckily I don't think it should be too expensive, as a full prenatal care and delivery package is only $1400-$1600 total. So hopefully it won't be too much. I'll have to see if she would even take me, as I'm already almost 31 weeks. But since I just saw her last April for my last birth I don't think it should be a problem.

I thought maybe I should just deal with the hospital stuff I hate.. but UGH. It will drive me nuts and ruin the experience. I HATE the way I get treated there. I don't need my vaginal area checked every 2 hours. It's bleeding and swollen, just like it should be. The baby doesn't need to be checked every 2 hours. I know how to change diapers, feed them, and if she stops breathing I'll let you know. I CAN sleep with my baby, I won't drop or kill her. No, I can't get any sleep on these darn hospital beds. No, I don't want you to do blood tests that make her scream, especially when you are horrible at drawing blood and have to squeeze her foot until it's blue for like 30 minutes. No, I will not let her sleep in the bin, she should be close to me, as she was before I delivered her. Quit asking me how breastfeeding is going, and asking the LC to check in. No, I will not give you a time sheet with my bathroom breaks and shower schedule. No, I don't need a 2 hour discharge summary of how to take care of a baby.

UGH.. just so much.
Geez, mama, that's nuts! I've had 2 hospital births and neither had anywhere near the ivasiveness you describe.
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Old 01-14-2012, 01:24 PM   #16
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Re: Did anyone have Medicaid and do Homebirth?

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I'm in Virginia and have medicaid just for the pregnancy but it's not doing me a whole lot of good, because they will not cover CPMs, and there are no CNMs that can do homebirths because they have to work with an OB, which just doesn't happen around here. Apparently Medicaid used to cover 60% of a homebirth, but just changed their policy last year, and now they only cover services that are referred and performed by "medical" providers. he CPM license doesn't count since it's not a nursing one. Believe me, I had this argument with them, and they don't care that it's saving them money; it's a policy thing. I even tried to fight it, but got like 3 letters saying that my appeal was denied.

I'm not happy about it, since both midwives I talked to said that at least half would be covered. My midwife is discounting her services because of all of this trouble, but it's still a lot more money out of my pocket than I wanted to pay, and kind of defeats the purpose of having medicaid in the first place. So far the only thing that they have paid for is the initial labs and my one ultrasound.
Actually, VA medicaid does cover CPMs bc around here (northern VA), almost all the MWs take medicaid. And medicaid covers all the prenatals and birth, but there can be some OOP expenses. I can't afford those expenses which is why I am not having a homebirth. Birthcare MWs are CNMs and they do homebirths but at this time, they don't accept medicaid. Medicaid is notorious for giving MWs the runaround, saying they will pay everything and then the MWs have to chase them for payment, etc, which is why I think they have these OOP expenses, so that they get something. I did have a bad experience where I got dropped by a MW at 35 wks bc Medicaid wasn't paying for her previous births and she didn't want to get jipped on my birth (she wasn't charging me any OOP), so I got screwed. :/
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Old 01-14-2012, 01:28 PM   #17
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Here in wa they cover home birth and a midwife. I have had two csections and my midwife does not carry malepractice insurance so they will not pay for the birth. They cover all prenatal visits. So I'm paying $2k for the birth and they will pick up may hospital bills if I was transferred.
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Old 01-14-2012, 01:30 PM   #18
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Re: Did anyone have Medicaid and do Homebirth?

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Originally Posted by bluedaisyma View Post
Actually, VA medicaid does cover CPMs bc around here (northern VA), almost all the MWs take medicaid. And medicaid covers all the prenatals and birth, but there can be some OOP expenses. I can't afford those expenses which is why I am not having a homebirth. Birthcare MWs are CNMs and they do homebirths but at this time, they don't accept medicaid. Medicaid is notorious for giving MWs the runaround, saying they will pay everything and then the MWs have to chase them for payment, etc, which is why I think they have these OOP expenses, so that they get something. I did have a bad experience where I got dropped by a MW at 35 wks bc Medicaid wasn't paying for her previous births and she didn't want to get jipped on my birth (she wasn't charging me any OOP), so I got screwed. :/
I'm in SW VA and they did not pay my CNM last January.
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Old 01-14-2012, 02:02 PM   #19
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Re: Did anyone have Medicaid and do Homebirth?

Wanted to add that you can also look into bartering for all or part of a midwive's fee. any skill you have might be something useful to the midwife, even if it's housecleaning or paperwork--or something more unique.

I built a website and designed a logo for the midwife who attended one of my births, and my placenta encapsulation specialist bartered with me for henna art for her whole family when they went to the RenFaire.

I'm in Texas, and they took for-EV-er to approve my pregnancy medicaid--but all I even wanted it for was backup/emergency care. I ended up not even going to see an OB/GYN once, tho I had one picked out that I knew was fairly respectful to homebirth/alternative health. I had doula/midwifery care from several mamas I know who were happy to barter for the very minimal prenatal care I wanted.

I hope you find a solution that works for you!
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