Medicaid Planning For Healthy Babies

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:

• âHas the consent of a parent or legal guardian or
• âMay, in the opinion of the physician, suffer probable health hazards if such services are not provided.

Where Can I Find Reproductive Health Services

The Louisiana Office of Public Healths Reproductive Health Program offers low- or no-cost STD screening, health education, counseling services, and contraception. To find confidential family planning services near you, visit Healthy Choices LA and enter your zip code in the box on the top right of the page. These clinics all take Medicaid.

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.

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During A Prenatal Care Visit Your Doctor Will:

• Give you a physical exam
• Test blood, urine, and blood pressure
• Listen to your babys heartbeat
• Measure your stomach

Your doctor can answer many questions related to pregnancy. Consider asking your doctor about:

• Childbirth classes
• Expected weight gain

Are you a first time mom? The Bureau of Family Healths Nurse-Family Partnership can pair you with a nurse for support and advice during your pregnancy. Call your local NFP office for more information.

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If You May Qualify For Medicaid Or The Childrens Health Insurance Program

• Medicaid and CHIP provide free or low-cost health coverage to millions of Americans, including some low-income people, families and children, and pregnant women.
• Eligibility for these programs depends on your household size, income, and citizenship or immigration status. Specific rules and benefits vary by state.
• You can apply for Medicaid or CHIP any time during the year, not just during the annual Open Enrollment Period.
• You can apply 2 ways: Directly through your state agency, or by filling out a Marketplace application and selecting that you want help paying for coverage.
• Learn how to apply for Medicaid and CHIP.

What Do I Need To Provide With My Application When Applying For The Fpbp

You will need to bring or send in documentation for each of the items listed below:

• Full legal name as it appears on your birth certificate
• Social Security Number
• Proof of your citizenship or immigration status. If you are a U.S.citizen and provide a valid Social Security Number , a match with Social Security Administration will verify your SSN, date of birth/age and U.S. citizenship. If SSA verifies this information, no further proof is needed. The SSA match cannot verify birth information for a naturalized citizen. You will need proof of naturalization or a U.S. passport)
• Proof of your age , like a birth certificate, or a passport
• Proof of earned income, like recent paycheck stubs , a letter from your employer or a profit and loss statement if you are selfemployed
• Proof of your unearned income, from sources like Social Security Benefits, NYS Disability Benefits, or Unemployment Benefits
• Proof of where you live, like a rent receipt, letter from your landlord, mortgage statement, or postmarked nonwindow envelope from mail you received recently
• Health Insurance benefit card or policy statements
• You do not need to bring or send in proof of your resources, such as bank statements, vehicles you own or insurance policies. Resources are not counted in determining eligibility for the FPBP.

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Healthy Moms Healthy Babies Of Mississippi

Healthy Moms/Healthy Babies of Mississippi is a care management and home visiting program for expectant moms and infants.We work with families and communities to help ensure that all Mississippi moms and babies have safe birthing experiences and healthy infant development.

OUR VISIONTransforming Generations: One Mother, One Baby, One Family at a Time

Where Can I Find Mental Health Care

If you need mental health services or substance abuse support, you may be able to find help here:

• Healthy Louisiana service provider
• If you have a regular doctor, then you may get a pregnancy test through their office.

If youre a teen, check out the Office of Public Healths Louisiana Youth Education Program or visit HealthyChoicesLA.org.

Prenatal care is medical care a pregnant person gets while they are pregnant. Prenatal care allows doctors to spot, treat, and prevent health problems that can harm mom or baby. You should contact a doctor to schedule a prenatal appointment as soon as you find out you are pregnant.

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What Types Of Doctors Care For Pregnant People New Moms And Kids

• Family Practice Physician: A Family Practice Physician, or Primary Care Physician, provides care to the entire family regardless of age, sex, and illness.
• Obstetrician Gynecologist : An OB/GYN is a doctor who specializes in womens reproductive health and provides care during pregnancy and childbirth.
• Pediatrician: A Pediatrician is a doctor who specializes in the care of infants and children under the age of 18.

How Do I Know If I Qualify For The Fpbp

You may be eligible for the FPBP if:

• You are a New York State resident
• You are a U. S. citizen*, national**, Native American, or lawfully present***
• You meet certain income requirements and
• You are not already enrolled in Medicaid.

You may still be eligible for the FPBP if you are already covered by other health insurance but you wish to apply only for Family Planning Services coverage. You may choose to apply only for the Family Planning Benefit Program and not to apply for Medicaid/Child Health Plus comprehensive public health insurance coverage.

*United States Citizen: For the purposes of qualifying as a United States citizen, the United States includes the 50 states, the District of Columbia, Puerto Rico, Guam, U.S. Virgin Islands and the Northern Mariana Islands. Nationals from American Samoa or Swain´s Island are also regarded as United States citizens for the purpose of Medicaid eligibility.

**National: A “national” is a person who is not a U.S. citizen, but who owes permanent allegiance to the United States and may enter and work in the U.S. without restriction. A “national” who is otherwise qualified may, if he becomes a resident of any state, be naturalized upon completing the applicable requirements. Examples of nationals are: persons born in American Samoa and Swain´s Island after December 24, 1952 and residents of the Northern Mariana Islands who did not elect to become U.S. citizens.

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Where Can My Child Get Their Recommended Vaccinations

• If you have health insurance for your child, you can get shots from your childs regular doctor. If your insurance is through Healthy Louisiana and you do not have a doctor yet,
• If you have health insurance, but it does not cover shots for your child, you may be able to get shots at a Parish Health Unit or Federally Qualified Health Center .
• If you do not have health insurance for your child, you can get insurance through the Louisiana Childrens Health Insurance Program , and visit a PHU or FQHC in the meantime.
• If youre in the New Orleans Area, visit the Greater New Orleans Immunization Network website for information about immunizations and a schedule for the New Orleans mobile immunization unit.

Aca Peachcare For Kids Medicaid & Planning For Healthy Babies Application Assistance

We provide free assistance with finding affordable health insurance through the Affordable Care Act Health Insurance Marketplace, Medicaid/PeachCare for Kids, Planning for Healthy Babies , or Medicare programs.

Affordable Care Act

The “Affordable Care Act” is the name of thecomprehensive healthcare reform law and its amendments that addresses healthinsurance coverage, healthcare costs, and preventive care. Many individuals andfamilies in Georgia who did not previously have access to insurance coveragemay now qualify for coverage at a low cost or no cost. As a CertifiedApplication Assistors site for the ACA, our certified application counselorsand ACA licensed navigators help you navigate through the ACA Marketplace tofind a plan that works for your family and apply for coverage.

Medicaid/PeachCare for Kids

We assist you in submitting your child’s application for Medicaidor Georgia’s low-cost health insurance program for working families, PeachCarefor Kids . This program helps ensure that your children, up to age 19, receivehealthcare through access to affordable health insurance. Once your child isenrolled, he/she can receive preventive services like immunizations and well-childchecks, dental care, vision care, prescriptions, behavioral health, as well asspecialty care. Peachcare for Kids also coversemergency room visits and hospitalization.

Planning for Healthy Babies

Medicare

The Family Health Centers of Georgia, Inc.868 York Avenue

Phone: 404.752.1400

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If You Currently Have Marketplace Coverage

• If you want to keep your current Marketplace coverage, donât report your pregnancy to the Marketplace. When filling out your application for Marketplace coverage, select the âLearn moreâ link when we ask if youâre pregnant to read tips to help you best answer this question.
• If you report your pregnancy, you may be found eligible for free or low-cost coverage through Medicaid or the Childrenâs Health Insurance Program . If you are found eligible for Medicaid or CHIP, your information will be sent to the state agency, and you will not be given the option to keep your Marketplace plan.
• If you keep your Marketplace coverage, be sure to update the application after you give birth to add the baby to the plan or enroll them in coverage through Medicaid or CHIP, if they qualify.

What Is Your Role

This is a voluntary program. If you decide to participate, you will be asked to:

• Participate in your plan of care and attend appointments with the HM/HB Primary Nurse Care Manager and your care management support team
• Provide a working contact number for your care management team to reach you.
• Keep your care management team up to date about appointments with other healthcare providers.
• Let the care management team know if you are having any problems with your pregnancy or baby.
• Ask questions to help us better serve you.

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How To Get Our Services: Contact And Referral

You can contact our program directly to if you think you may qualify, contact a county health department near you, or call 601-576-7463. You can also be referred for our services by a medical professional or other source.

• Referral forms and services

Write to us

Want more information about the program, or to see whether you are eligible? Send us a note with the form below.

Ambetter From Peach State Health Plan

Ambetter from Peach State Health Plan is Centenes Health Insurance Marketplace product in Georgia. Ambetter Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally.

• Health Insurance Marketplace

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If I Have Medicaid Where Can I Get Health Care

If you or your child has Medicaidand are enrolled in one of the five Healthy Louisiana health plans listed below, you can search for a doctorhere.

• Louisiana Healthcare Connections
• UnitedHealthcare

To find out if you are eligible for Medicaid, visit the Healthy Louisiana website or call 1-888-342-6207.

To find list of dentists that accept Medicaid.

To Apply For Services:

Referrals to BCW can be made by phone, email, fax, letter, or in person. Find a BCW program in your county using the Children With Special Needs Coordinator Locator

Steps to complete a referral:

Disclaimer: Parental consent is not required to make a referral, however, referral sources are encouraged to talk with the parents before referring a child to BCW.

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Planning For Healthy Babies

Welcome and thank you for choosing Peach State Health Plan as your new health plan for Planning for Healthy Babies®. Peach State Health Plan offers you quality health care services and the personal attention you deserve.

Planning for Healthy Babies® is a program from Georgia Department of Community Health. Planning for Healthy Babies® offers no cost family planning services. The Planning for Healthy Babies program consists of three services:

• Family Planning
• Family Planning Only includes family planning services.

What Health Services Are Covered By The Fpbp

Family Planning Services include:

• Most FDA approved birth control methods, devices, and supplies
• Emergency contraception services and followup care
• Male and female sterilization
• Preconception counseling and preventive screening and family planning options before pregnancy
• Transportation to family planning visits
• Retroactive coverage

The following additional services are considered family planning only when provided within the context of a family planning visit and when the service provided is directly related to family planning:

• Pregnancy testing and counseling
• Comprehensive health history and physical examination, including breast exam and referrals to primary care providers as indicated .
• Screening and treatment for sexually transmitted infections
• Screening for cervical cancer and urinary tract or femalerelated infections
• Screening and related diagnostic laboratory testing for medical conditions that affect the choice of birth control, e.g. a history of diabetes, high blood pressure, smoking, blood clots, etc.
• HIV counseling and testing
• Counseling services related to pregnancy, informed consent, and STD/HIV risk counseling
• Bone density scan

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If You Dont Have Health Coverage

• Health coverage makes it easier to get the medical check-ups and screening tests to help keep both you and your baby healthy during pregnancy.
• If you qualify for a Special Enrollment Period

  A time outside the yearly Open Enrollment Period when you can sign up for health insurance. You qualify for a Special Enrollment Period if youâve had certain life events, including losing health coverage, moving, getting married, having a baby, or adopting a child, or if your household income is below a certain amount.

  due to a life event like moving or losing other coverage, you may be able to enroll in a Marketplace health plan right now. Being pregnant doesnât make you eligible, but the birth of a child does.
• Create an account now to apply for Marketplace coverage through the Open Enrollment Period or a Special Enrollment Period. If you select the option to get help paying for coverage on your application, youâll be asked if youâre pregnant. Reporting your pregnancy may help you and your family members get the most affordable coverage.
• If you donât qualify for a Special Enrollment Period right now, you� âll be eligible to apply within 60 days of your childâs birth. You can also enroll in coverage for the next plan year during the next Open Enrollment Period this fall.
• If eligible for Medicaid or CHIP, your coverage can begin at any time.