Midwife in NYC who accepts any PCAP HMO? - Mothering Forums

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#1 of 5 Old 08-23-2009, 02:11 PM - Thread Starter
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I am 8 weeks pregnant and applying for PCAP(Medicaid for pregnant ladies). I recently took a tour of SLR birthing center/L&D facility in Manhattan and liked what I saw. I'd like to use a midwife, but then I realized that none of the SLR-affiliated midwives accept any of the PCAP HMO's.

Any suggestions for midwives in NYC who take PCAP/medicaid? Doesn't have to be someone who can deliver at SLR -- but if they could, that'd be great!

I guess I'm wondering -- Is Medicaid effectively going to keep me from having the minimally-interventive delivery I hope to have?

I've heard the free-standing birthing centers in the Bronx and Brooklyn accept PCAP/Medicaid -- but they're very hard to get to for me (I live in Queens and don't have a car). If you use those facilities for birthing, does that also mean that you are going to all your prenatal appointments there? Or is it possible that I could find a midwife who takes PCAP and delivers at one of the birthing centers, but actually practices in a different location?

I'm a first-time poster, feeling a bit overwhelmed by everything. Thanks for any info anybody might have.
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#2 of 5 Old 08-24-2009, 11:09 AM
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Have you considered Bellevue Birth Center?
they accept Medicaid.
They also have a volunteer labor doula program at the birth center, so if you want a labor doula, you can have one.

All your prenatal visits are at the midwives professional office or at the clinic that is usually in or near the hospital.

Bellevue Birth center (accepts medicaid)
First Avenue and 28th Street
212 562-5794

Beth Israel Midwifery (accepts medicaid).
Union Square
Rochelle Lipshutz
Joyce Griffin

If it's of any interest to you, there is also a few homebirth midwifes that take medicaid in NYC. You can search on this forum to find those names.
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#3 of 5 Old 08-24-2009, 04:03 PM - Thread Starter
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Thanks so much for this helpful response. I really appreciate the specific info, and feel more hopeful!

I also talked to midwife Georgia Rose on the phone yesterday. She had very helpful info, which I'll post here for the benefit of anyone searching this same question later.

She says that in general, private-practice midwives do not accept PCAP/Medicaid, because the reimbursement is simply to low for them to afford. At the low volume at which private midwives operate, it's just not feasible.

She said in general, if you're on Medicaid, clinics which offer midwifery are the way to go, because they operate at a high enough volume to be able to accept Medicaid reimbursements. The downside is that it's not a one-on-one relationship with a midwife. However, even in many private practices, you are not guaranteed to have "your" midwife attend your delivery.

She gave high praise to the Morris Heights Health Center's Birthing Center in the Bronx. I've also read lots of good comments about this place.

She also mentioned the Brooklyn Birthing Center and Bellevue.

I will post more info as I find it.

Meanwhile I'm still curious about anyone else's experiences with this.
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#4 of 5 Old 08-24-2009, 05:33 PM
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Medicaid reimbursements in NYS are 60% of the national average (correction: of, not below), so it's very tough to accept Medicaid patients. That's one of the reasons it's so hard to find Medicaid practitioners in New York and you wind up in health centers and clinics. I remember looking through the book for my daughter's Medicaid HMO last year (in NYS) and being shocked at just how few specialists took it. There was ONE maternal fetal medicine specialist.

Either Park Slope Midwives or the Brooklyn Birthing Center take/took Medicaid (I'll see if I can find the information...) Park Slope's website is gone, unfortunately. I do remember they had one of the widest ranges of insurance accepted. They have multiple locations in Brooklyn, if that's any help.)

DD 01/2007, DS 09/2011

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#5 of 5 Old 11-04-2009, 04:24 PM - Thread Starter
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I ended up choosing the Brooklyn Birthing Center. It takes a VERY long time to get there by train from where I live in Queens, but is okay by car.

I've been really happy with the care there. I'm now at 18 weeks. There are 4 midwives and you meet them all at some point during your prenatal visits. Then, whichever one is on call when you are in labor attends your delivery.

Regarding Medicaid, the Brooklyn Birthing Center accepts only "straight" Medicaid. Generally Medicaid requires you to choose an HMO, but the Birthing Center does not accept Medicaid HMO's. They will help you file an exemption with the Medicaid office so that you do not have to choose an HMO.

The staff at the Brooklyn Birthing Center is *incredibly* helpful with all this stuff. I can't recommend them enough.
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