KFF Analyzes Medicaid Reimbursement Rates for Abortion Services in 17 States
KFF analyzed physician fee schedules in states that use state funds to cover abortion services for Medicaid enrollees, finding substantial variation in reimbursement rates for medication abortion and procedural abortion across the 17 states examined. The analysis provides a snapshot of current payment levels as of 2026, showing which states reimburse at higher or lower rates for these services. This matters for understanding provider participation, access to care, and administrative approaches in states that have elected to fund abortion services through Medicaid beyond federal Hyde Amendment restrictions.
Reimbursement rate variation directly affects provider willingness to serve Medicaid enrollees seeking abortion services and state Medicaid agencies' ability to ensure network adequacy in states funding these benefits.
Maternal · Managed Care
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