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You preferably should have hired somebody to do the paperwork and answer all your questions. If your wife isn’t expecting yet, she might not be eligible income-wise, but I assume you know the numbers/rules. You could technically get paid retroactively once you become approved (for 3 months prior) but they pay pennies, not related to how much you actually paid, and it’s a pain till you get reimbursed. I think a new case takes a few months, don’t know exactly. There are doctors that take a flat fee in cash, which I heard was $5000 many years back, but I’d assume if anything gets complicated it’s way more. Talk to a professional, your best bet might be to buy insurance until/if she gets approved. Also, it may be tough to find a good Medicaid doctor. Good luck!