Pregnancy services: clinical care
Find coverage, client eligibility, and program information for providers who care for Apple Health (Medicaid) clients during pregnancy through the 12-months after pregnancy ends.
Apple Health clients
If you are an Apple Health client, visit the Pregnant individuals webpage.
On this page
Client eligibility
See eligibility for pregnant individuals, including information on confidential services and After-Pregnancy Coverage (APC).
Managed care enrollment
Most Apple Health clients are enrolled in a managed care plan. Clients enrolled in managed care can receive additional benefits and support from their managed care organization.
Clients can change their managed care plan at any time. Changes usually take effect the first day of the following month, unless the request was made in the last two business days of the current month.
Available pregnancy-related services
Apple Health provides comprehensive pregnancy and 12 months of postpartum coverage for individuals who qualify based on income, regardless of citizenship or immigration status.
In addition to basic covered services, Apple Health covers the following pregnancy services.
Birth doula services
Dental services
General services
- Delivery in a hospital, birthing center, or home birth
- 12 months of comprehensive postpartum care for the birthing person
- Continuous enrollment in Apple Health from birth up to age 6, when a child is born to an Apple Health covered pregnant person
- Abortion care and pregnancy loss
Maternity Support Services (MSS), Infant Case Management (ICM), and Childbirth Education (CBE)
Coverage for additional preventive services.
Mental health services
Prenatal care
This includes regular office visits and associated services from the client’s provider of choice:
- Pregnancy-related services billing guide
- Planned home births and births in birth centers billing guide
Substance use disorder services
Billing guide applicability depends on your licensure, scope of practice, and care delivery setting.
Help clients report a pregnancy
Apple Health clients should report their pregnancy as soon as possible. Reporting a pregnancy helps HCA confirm that the client has appropriate coverage and transitions to After-Pregnancy Coverage (APC) when the pregnancy ends. APC is comprehensive coverage for individuals to access health care services any time in the 12 months after their pregnancy ends.
Clients report a pregnancy by:
- Calling: Washington Healthplanfinder at 1-855-923-4633
- Updating their account: at Washington Healthplanfinder
Providers can encourage clients to report their pregnancy or assist them in completing the steps.
2027 billing code changes
Effective January 1, 2027, The American Medical Association (AMA) will no longer support the obstetric (OB) global obstetric codes for professional services reimbursement.
HCA will remove deleted global obstetrics codes from Apple Health billing guides and fee schedules, effective January 1, 2027. Providers will instead use new and revised Current Procedural Terminology (CPT) codes that align with updated Apple Health clinical policy.
- Read the Changes to Apple Health pregnancy related billing codes FAQ
- View the Changes to Apple Health pregnancy related billing codes — webinar slides (6/3/2026)
Webinars
| Title | Date | Details | Materials |
|---|---|---|---|
| Apple Health perinatal mental health coverage and policy | Friday, August 28 |
Join HCA for a webinar focused on the Mental Health Billing Guide Part 1 and perinatal mental health services. This webinar responds to a need for more information about Apple Health perinatal mental health coverage that was identified in a 2025 survey of the perinatal mental health workforce. |