HUSKY Maternity Bundle

The HUSKY Maternity Bundle is a Medicaid provider-payment and quality model launched January 1, 2025. Instead of paying participating maternity practices only fee-for-service for each prenatal and postpartum service, DSS uses monthly case-rate payments plus quality and shared-savings incentives for an episode of maternity care. [CT-MB1, CT-MB2, CT-MB3]

This is not a new insurance card or application, but it can change how a practice organizes care, doula and lactation support and quality follow-up. DSS quality measures include behavioral-health risk assessment, breastfeeding, doula use, postpartum care, prenatal care and maternal adverse events. [CT-MB4]

All pregnant and birthing Connecticut Medicaid members can be included when attributed to a participating maternity provider, subject to exclusions. Eligible participating OB and licensed-midwife practices generally include those with at least 30 Connecticut Medicaid deliveries annually. High-risk pregnancies and multiples can be included. [CT-MB3]

You keep your ordinary HUSKY benefits. The bundle changes provider payment and incentives around coordinated maternity care and quality. Participating practices may integrate doulas and lactation support and are measured on postpartum and behavioral-health-related care. [CT-MB3, CT-MB4]

The payment episode runs 280 days before delivery through 90 days after delivery. This 90-day bundle period does NOT shorten your 12-month HUSKY postpartum coverage. [CT-MB3]

There is no separate premium or fee for the mother; this is a payment arrangement between DSS and participating providers. [CT-MB3]

You do not enrol. If your provider participates and the attribution criteria are met, your provider's care is paid under the bundle. Ask your practice whether it participates and what care-coordination, doula and lactation supports it offers.

Nothing beyond ordinary HUSKY maternity enrollment and your provider relationship; the provider handles billing and attribution.

The bundle is not a guarantee of a specific service, appointment or provider. Some patients and providers are excluded and some practices do not participate. Most important: the 90-day episode is a payment definition, NOT a coverage cutoff. [CT-MB3]

Members retain the right to choose and change providers. Having a non-participating provider does not eliminate HUSKY maternity services or the separate fee-for-service doula benefit. [CT-MB3]

Ask your OB or midwife practice whether it participates. If that is unclear or you need another provider, use HUSKY Member Services.

The payment model includes risk adjustment and quality work but does not guarantee language-concordant care. Use HUSKY interpreter and provider-navigation resources.

You do not lose HUSKY maternity coverage if your provider is outside the bundle. Fee-for-service pathways remain, including the independent doula benefit.