Postpartum Coverage Extension


This proposed State Plan Amendment (SPA) implements Section 9812 of the American Rescue Plan Act of 2021 (PL 117-2) that affords states’ Medicaid programs an option to expand the postpartum coverage period from 60 days to 365 days. On 06/23/2022, the Arizona State Legislature passed HB 2863, which included a postpartum coverage extension for Medicaid members.

This SPA is drafted with standard language that is used in State Plans across the United States and will provide continuous, 12-month coverage for eligible women who were enrolled with Medicaid while pregnant, beginning on the last day of pregnancy.

AHCCCS will implement this coverage option, effective upon CMS approval and completion of all operational/system changes necessary to extend coverage.

Tribal Consultation

A Special Tribal Consultation for this SPA will occur on July 15, 2022. All meeting materials for this session can be found on the AHCCCS Tribal Consultation Meeting Materials webpage.

I/T/U and Tribal leaders may register for this session utilizing the following link:

Further, this notice will be updated to include the presentation from the Tribal Consultation session.

State Plan Amendment and Public Comment Period

The DRAFT SPA, can be found at the link below:

Public notice was posted on 6/29/2022, with comments being accepted through 8/29/2022.
Comments can be submitted through email or mail at the address below:



Attn: Office of Intergovernmental Relations
801 E. Jefferson St., MD 4200
Phoenix, AZ 85034