%0 Journal Article %T Modeling the impact of decreasing waiting period length for Medicaid sterilization: A multi-site cohort study. %A Berg KA %A Gunzler DD %A Miller E %A Boozer M %A Serna T %A Bailit JL %A Arora KS %J Contraception %V 0 %N 0 %D 2024 Jun 21 %M 38909745 %F 3.051 %R 10.1016/j.contraception.2024.110531 %X OBJECTIVE: To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment.
METHODS: Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery.
RESULTS: In our sample of 2076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception.
CONCLUSIONS: As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.