Division Of Medicaid’s Family Planning Waiver

(FPW)

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1115 Demonstration Waiver

Effective January 1, 2015 through

December 31, 2017

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Allows the state of Mississippi to provide Medicaid benefits for

Family Planning and Family Planning related services

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Who is eligible?

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Eligibility Requirements Women and Men Between the Ages of 13-44

• Must be capable of reproducing • Family income is at or below 194% of the federal

poverty level (FPL) • Must not have Medicare, Children’s Health

Insurance Program (CHIP) coverage, or any other health insurance or third party medical coverage

• Women cannot be pregnant

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Loss of Eligibility Occurs When • A beneficiary moves from the state of

Mississippi, • becomes eligible for another Medicaid

aid category, Medicare, CHIP, or other health insurance,

• becomes pregnant, or • reaches 45 years of age.

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Covered Services

• Four annual visits (Federal FY October – September)

• Family Planning and Family Planning Related Services

• Treatment of sexually transmitted infections (STIs), sexually transmitted diseases (STDs) and abnormal pap smears

• Voluntary sterilization

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Covered diagnoses and procedure codes are available on the Division of Medicaid website at: http://www.medicaid.ms.gov/wp-content/uploads/2015/01/FPW-CODES-UPDATE-2015.pdf

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Effective Jan. 1, 2015, beneficiaries enrolled in the Family Planning waiver demonstration program may have a prescription for contraceptives and/or medications to treat a sexually transmitted infection (STI)/sexually transmitted disease (STD) written by any Medicaid participating provider filled at their local Medicaid participating pharmacy.

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Family Planning Waiver Drugs can be found on the Division of Medicaid website on the Pharmacy section at: http://www.medicaid.ms.gov/providers/pharmacy/pharmacy-resources/

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MS Division of Medicaid website – medicaid.ms.gov

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MS Division of Medicaid website – medicaid.ms.gov

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MS Division of Medicaid website – medicaid.ms.gov

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MS Division of Medicaid Website

Fee Schedules and Rates

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Click on Providers

Click on Fee Schedules and Rates

MS Division of Medicaid Website

MS Envision

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WHERE DO I FIND ALL OF THIS INFORMATION AFTER THE WEBINAR?

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MS Division of Medicaid website – medicaid.ms.gov

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MS Division of Medicaid website – medicaid.ms.gov

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Contact Medical Services

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Questions & Answer Session

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