The following resources offer a short overview of Centering and state-specific billing, coding and documentation information.

• Arizona (March 2025)
• Michigan (March 2025)
• North Carolina (March 2025)
• Ohio (March 2025)
• South Carolina (March 2025)

Advancing Medicaid support for group prenatal care

In 2024, 10 state Medicaid programs have made significant strides toward enhancing reimbursement for group prenatal care (GPC), reflecting a growing recognition of its benefits for maternal and neonatal health. These states are leveraging innovative payment mechanisms to improve access to and quality of prenatal care.

States with enhanced Medicaid reimbursement for GPC

The following 10 states have implemented enhanced reimbursement for GPC under their Medicaid programs:

• Arizona
• Maryland
• Michigan
• Missouri
• Montana
• New Jersey
• North Carolina
• Ohio
• South Carolina
• Texas

Federally Qualified Health Center (FQHC) integration

Four of these states—Michigan, Montana, North Carolina and Ohio—extend Medicaid coverage for GPC services delivered through FQHCs, addressing the critical needs of underserved populations and expanding access to high-quality care.

Payment models driving progress

State Medicaid programs and managed care organizations are employing a variety of mechanisms to support GPC, including:

• Alternative Payment Models (APMs): Incentivizing value-based care delivery.
• Enhanced reimbursement: Funding GPC at rates exceeding standard prenatal care
• Grants and one-time funding: Supporting implementation and scaling of GPC programs

The following resources provide insight into the efficacy of payment for GPC to improve birth and maternal health outcomes, reduce racial disparities and promote care experience satisfaction for birthing people and healthcare providers.

Click here for the full list of policy and advocacy resources, centering news articles and recent policy activity

Please reach out with questions or comments to policy@centeringhealthcare.org.