Medicaid Family Planning Waiver Program
The family planning waiver program covers family planning services to eligible women, ages 14 through 55. Services are provided up to 24 months. Eligibility is limited to women with family incomes at or below 191 percent of the Federal Poverty Level who have lost or are losing Florida Medicaid State Plan eligibility and are not otherwise eligible for Medicaid, Childrens Health Insurance Program, or health insurance coverage that provides family planning services.
Recipients losing SOBRA eligibility will have passive enrollment during the first 12 months of losing Medicaid. Non-SOBRA women will have to actively apply for the first year of benefits at their local county health department. All women enrolled in the family planning waiver will have active re-determination of eligibility through their local county health department after 12 months of family planning waiver eligibility. In order to receive the second year of benefits, recipients must reapply at their local county health department.
Legal Authority: Section 381.0051, Florida Statutes, Contraceptive information and services may be rendered to minors by practitioners licensed to practice medicine under the provisions of Section 458 or 459, Florida Statutes, as well as by the Department of Health through its family planning waiver program, provided the minor:
The family planning waiver program covers the following services:
Does Medicaid Cover Birth Control
Many or all of the products featured here are from our partners who compensate us. This may influence which products we write about and where and how the product appears on a page. However, this does not influence our evaluations. Our opinions are our own. Here is a list ofour partnersandhere’s how we make money.
Medicaid is a national program that offers health coverage to more than 81 million people in the United States. In most states, Medicaid covers birth control at no cost to the patient.
Is Birth Control Free Under The Affordable Care Act
Under ACA, you donât have a copay or other out-of-pocket costs for birth control if you:
- Get your health insurance through most employers, through your state’s , or from most private insurers, and
- Have a doctorâs prescription for any type of birth control approved by the FDA this includes the ones usually sold over the counter like spermicides and sponges.
You May Like: What Are The Medicaid Plans In Texas
Does Every Health Insurance Plan Have To Pay For Birth Control
The birth control terms of the Affordable Care Act apply to most health insurance plans, but there are some exceptions:
- Plans that didnât offer coverage for birth control before ACA and that havenât changed significantly since the law passed in 2010 donât have to add coverage. Check with your plan to find out if this applies to you.
- Short-term health plans, those that provide insurance for less than 12 months, do not have to provide free birth control.
- Private employers that object to offering birth control on moral or religious grounds and can get an exemption from the federal government donât have to provide coverage. In some cases, their insurer may still provide birth control benefits without a copay or other charges, but this accommodation is optional.
- Medicaid programs already offered free birth control prior to the ACA, although they are not required to cover all FDA-approved birth control methods. Check with your Medicaid office to find out what types of birth control are offered. In addition, states are given the option to provide family planning services only for low-income individuals who would not otherwise be eligible for Medicaid. Just over half the states have expanded family planning services under this option.
Does Rite Aid Accept My Insurance
To determine if Rite Aid is able to accept your insurance, please contact your insurance company directly for assistance, or check with your local Rite Aid Pharmacy. The insurance company should be able to provide you with a list of participating pharmacies in your area, or your local Rite Aid pharmacist may be familiar with the plan.
Also Check: Will Medicaid Pay For Birth Control
What Does Medicaid Cover In Terms Of Family Planning Benefits
Typically, if you already have Medicaid coverage, you can access family planning services from any provider that participates in Medicaid. This is true whether or not this provider is in-network for Medicaid.
Family planning is classified as a mandatory benefit under Medicaid. This means that all state Medicaid programs must cover family planning. However, states can determine how Medicaid covers specific family planning services and supplies at their discretion. However, there is no formal definition of family planning in the Medicaid program. Federal law guarantees payment for family planning services and supplies for anyone who qualifies for Medicaid in their state and also wishes to access family planning services and supplies. This is true of minors who are sexually active, too.
Want to see if youre eligible for Medicaid? Or if you qualify for subsidies on a Marketplace health insurance plan ? Then enter your zip code below.
Family Planning Medicaid Or Be Smart Medicaid
The Family Planning Medicaid Program or Be Smart program is designed to reduce unintended pregnancies and improve the well-being of children and families in North Carolina. Family planning, reproductive health and contraceptive services are provided to eligible men and women, whose income is at or below 195% of the federal poverty level, with no age restrictions.
Recommended Reading: Kentucky Medicaid Provider Enrollment Application
What Services Are Available Through This Program
- Physical exams which may include a pap smear, breast exam, and STD testing
- Family planning counseling and pregnancy test
- Birth control supplies including condoms
- Colposcopies and treatment for STDs which are limited to a six week period after a family planning exam, counseling visit, or supply visit
- Related pharmaceuticals and laboratory test
Please noteAll Services are CONFIDENTIAL
What States Dont Require A Prescription For Birth Control
Here are your birth control prescription options depending on where you live: If you live in California, Colorado, Hawaii, Oregon, New Mexico, Maryland, Tennessee, or Utah, your state laws are already in effect.
Sandra Hearth is the creator and writer behind “Wellbeing Port”, a blog dedicated to promoting healthy living and personal wellness. Born and raised in the bustling city of New York, Sandra has always been drawn to the idea of living a balanced and fulfilling life. As a certified health coach and yoga instructor, Sandra has a wealth of knowledge and experience in the fields of health and wellness. She started her blog as a way to share her passion for healthy living with others and to provide practical tips and advice for those looking to improve their overall wellbeing. Overall, Sandra Hearth is a knowledgeable and passionate advocate for healthy living, and her blog “Wellbeing Port” is a valuable resource for those looking to improve their health and wellbeing.
Don’t Miss: Medicaid Nevada Provider Phone Number
Where Do I Get Family Planning Services Covered By The Fpbp
There are many health care providers that can provide confidential family planning services under this program, including hospital based and freestanding clinics, family planning clinics, county health department clinics, federally qualified health centers, rural health centers, obstetricians and gynecologists, physicians, licensed midwives, nurse practitioners, pharmacies, and laboratories. If you need help in locating a Medicaid enrolled family planning provider in your area, please call toll free at 18005412831 for assistance.
Where Can I Get Services
Services are available at any eligible Apple Health provider.
Condoms and spermicides are available at pharmacies without a prescription.
Emergency Contraception is available at any eligible Apple Health provider or directly from a pharmacist. For more information, visit the Emergency Contraception website.
You May Like: Does Medicaid Cover Home Birth In Texas
How Much Do Prescriptions Cost With Medicaid
Knowing how much a prescription pill will cost is a difficult estimate since it is dependent on a number of factors. This is why states control preferred and non-preferred lists and look for the most cost-effective solutions.
In this manner, practically all prescriptions may be completely paid by Medicaid.
However, the state is permitted to levy a co-payment of up to 20% of the non-preferred prescription medicine price.
What Is Covered By Medicaid
Medicaid was established to assist people in need and low-income families. Children under the age of 21, pregnant women, and the elderly are given special consideration.
Medicaid covers a wide range of services, including doctors visits, nursing homes, hospital charges, long-term care fees, and much more.
While Medicaid is governed by federal law, each state has the authority to modify the program as they see proper. This is one of the reasons why individuals frequently do not understand how Medicaid works in their country and need further assistance.
You can learn all you need to know about Medicaid by:
- Visiting our website which has all the relevant information
Read Also: Georgia Medicaid Home Health Care
My Rite Aid Is Now A Walgreens How Do I View My Records On
Now that your local Rite Aid store is converting to Walgreens, your online Rite Aid account and mobile app can no longer be used. You will need to either call or visit your local store to request a refill or your records during the conversion process. Once your store is fully converted to the Walgreens system, you will then be able to use the Walgreens online services. Your local store will be able to assist you in determining when the conversion is complete and when the online services will be available again.
Does Medicaid Cover The Costs Of Prescription Drugs
Prescription drug coverage is one of the optional benefits that individual states may choose to provide to their Medicaid recipients. Currently, all the states offer outpatient prescription drug coverage. So the simple answer is yes, Medicaid does cover the costs of prescription drugs. However, this doesnt mean all prescriptions are completely covered.
Each state can choose which medications they are willing to cover and which prescriptions they will not cover. They can also set rules regarding prescription co-payments or shared costs. However, there are limits placed on how much the state can make the patient pay for prescriptions covered by healthcare benefits.
First, the individual states can decide which prescriptions to include on their preferred list and which ones to include on their non-preferred list. Generally speaking, if there is a generic version of an otherwise very expensive medication, the generic version will be on the preferred list while the more expensive one will be on the non-preferred list.
Once a state has their list of preferred and non-preferred drugs, they are allowed to charge a co-payment of up to 20% of the non-preferred prescription cost for recipients with an income higher than 150% FPL. Even paying only 20% can get very expensive, so many request the generic versions in order to ensure little to no out-of-pocket expenses.
Recommended Reading: Eye Care Places That Take Medicaid
Who Can Qualify For Medicaid Family Planning Benefits
If you already qualify for Medicaid in your state, this means you are already eligible for the family planning benefits of your states program. In most states, if you are You can see if youre eligible and apply for Medicaid here.
Some states also have whats known as Medicaid family planning expansion. This means that states have utilized the option of accessing a waiver from the federal government that allows them to provide access for family planning care on the basis of income to those previously not covered by or eligible for Medicaid. And a few states even have waivers to cover family planning for those who are leaving the Medicaid program.
Thanks to the Affordable Care Act , all states now have the option of expanding their Medicaid programs in terms of family planning benefits without the use of a time-limited waiver. Now, any state that wishes to extend Medicaid coverage for family planning for anyone who meets the income requirements may do so permanently.
Restoring Womens Access To Medicaid Family Planning Services
-
Partner, Manatt Health
-
For many low-income women, particularly those living in states that have not expanded Medicaid, family planning coverage provides access to important preventive health services
-
The Biden administration has tools at its disposal to address family planning restrictions and restore womens access to sexual and reproductive health care
Family planning services allow women to make their own choices about whether and when to have children. These services, which are critical to ensuring gender and racial equity and reproductive justice, are not limited to contraception, pregnancy testing, and fertility services. For many low-income women, particularly those living in states that have not expanded Medicaid, family planning coverage provides access to important preventive health services, too. Of the 9.3 million women who received publicly funded contraceptive services in 2016, approximately half also received testing for a sexually transmitted infection, nearly 2 million were screened for cervical cancer, and almost 40,000 received an HPV vaccination.
Read Also: How To Get Help With Medicaid
You May Like: Apply For Medicaid South Dakota
Health Education Cancer Screenings Sti Testing And Treatment Pregnancy And Preconception Screening
Oftentimes, states also include sexual and reproductive health education programs and testing and treatment for sexually transmitted infections in their family planning coverage, too. In addition to contraception to prevent pregnancy and space out births, many family planning programs include pregnancy testing and counseling, basic infertility services, STI and HIV services, and preconception services such as screening for obesity, smoking, and mental health. Screening for intimate partner violence is also often covered by Medicaid family planning benefits. However, there is no requirement that all states must provide all these benefits in their own Medicaid programs for family planning care.
Breast cancer and cervical cancer screenings are also typically covered by state Medicaid programs. The HPV vaccine for young adults is also covered in all but one state Medicaid program. This vaccine is the only vaccine proven to prevent cancer, in this case cervical cancer.
Recommended Reading: Blue Choice Healthy Connections Medicaid
How Does Family Planning Work
Taking care of yourself is key. This means seeing your PCP or Ob/Gyn. Using family planning services is a good idea, too. But planning also means managing the risk of pregnancy until youre ready.
The best way to avoid pregnancy is to avoid sex. But if youre sexually active, using contraceptives the right way also works well. Be sure to use them every time. The methods that work best include:
- Long-acting reversible contraceptives, such as intrauterine devices and implants
- Hormonal methods, like oral contraceptives , the patch, the ring and the shot
- Condoms, which protect against unplanned pregnancy and STIs
Family planning and most types of birth control dont prevent STIs. Youll want to use condoms if youre not in a long-term sexual relationship with only one other person.
Also Check: Does Medicaid Pay For Teeth Cleaning
Will My Doctor Exam Also Be Free If I Get A Prescription For Birth Control At That Appointment
Often, yes. Your well-woman visits are covered with no out-of-pocket costs to you under the Affordable Care Act. During this visit, your doctor can tell you about the types of birth control available to you and write you a prescription. However, if during the visit the doctor diagnoses or treats you for another medical condition, you will likely have to pay out-of-pocket costs for the visit.
Medicaid Family Planning Services
- all types of birth control: pills, condoms, diaphragms, IUDs, Depo Provera, Norplant, and contraceptive foams
- emergency contraception
- testing and treatment for sexually transmitted diseases including colposcopy, cryotherapy and LEEP *
- HIV testing and pre test and post test counseling *
- Pap smears testing for cervical cancer, pelvic problems, breast disease, anemia, and high blood pressure *
*As part of a family planning visit
Also Check: Sign Up For Alabama Medicaid
Who Is Eligible For Family Planning
Beneficiaries must meet the following eligibility criteria:
- Family income no more than 194 percent of the federal poverty level conversion)
- Must be capable of reproducing ages 13-44 years of age.
- Must not have had a procedure that prevents them from reproducing.
- Must not have Medicare, CHIP, or any other health insurance or third party medical coverage.
Dont Miss: Does Sc Medicaid Cover Weight Loss Surgery
The Family Planning Program
The Family Planning Program is for men and women who are 12-54 years of age. The FPP helps with the cost of family planning related services. The FPP is a state-funded DHS program which replaced the Iowa Family Planning Network program. Eligibility and covered benefits did not change. The location where you receive services may have changed. As of July 1, 2017, eligible IFPN members transitioned to the FPP.
Find an FPP Provider
The provider search tool will take you to the Iowa Medicaid Enterprise Provider Search Portal. Select FPP Provider in the Type dropdown.
You can change the Specialty,County or Metro to expand or narrow your search. Provider lists are subject to change and are updated daily.
Read Also: Washington State Medicaid Residency Requirements
Don’t Miss: What Are The Income Guidelines For Iowa Medicaid
