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Case Studies: How Tennessee and California Medicaid Programs Promote Access to Postpartum Long-Acting Reversible Contraception

By National Academy for State Health Policy

Increasing women’s access to postpartum birth control has the potential to increase the health and well-being of women and their families, and immediate postpartum birth control can lead to a decrease in unplanned pregnancies, increased intervals between pregnancies, and a reduction in neonatal abstinence syndrome births (from drug exposure in the womb). Tennessee and California have developed unique Medicaid quality improvement and payment strategies to increase access to immediate postpartum long-acting reversible contraception (LARC).

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U7CMC53579, Maternal Health Training & Resource Center. This information or content and conclusions are those of the author and should not be construed as the official position nor policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.

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