Unbundled Maternal Health Global Payment

Overview

Unbundled Maternal Health Global Payment is an Iowa Medicaid payment and billing process for pregnancy-related care. 

It allows healthcare providers to bill for eligible maternal health services separately rather than including all services in one bundled maternity payment. The process applies to both traditional Iowa Medicaid and Medicaid managed care plans, with specific billing rules based on the patient's insurance coverage. 

What does this mean in practice?

Under Iowa's program, providers can bill for up to 14 prenatal visits and 3 postpartum visits separately under the applicable rules. The program is intended to support reimbursement for pregnancy-related care and encourage appropriate prenatal and postpartum services. 

It is a provider payment policy, not a separate insurance plan.

Resources 

• Unbundled Maternity Billing Guide (334.07 KB) .pdf
  • Maternal Billing Codes  (97.28 KB) .xlsx
• Unbundled Maternal Codes Presentation (497.17 KB) .pdf