Family planning services and supplies have been a part of the Medicaid program since it was first established half a century ago. And over the past several decades, Medicaid has become the dominant public funding source for family planning in the United States. That should not come as a surprise, given the demographics of the population that Medicaid insures: According to unpublished tabulations of U.S. Census Bureau data, 20 percent of U.S. women of reproductive age (15–44) are enrolled in Medicaid, including 47 percent of those living below the federal poverty level.
This spring, the Centers for Medicare and Medicaid Services (CMS) turned an unprecedented amount of attention to these issues, recognizing Medicaid’s importance in enabling low-income women to access the family planning care they need. Sweeping governing the involvement of private-sector managed care plans in the Medicaid program and of guidance to state officials focusing exclusively on family planning together form the most comprehensive set of rules, principles, and recommendations for states that CMS has offered on the subject.
Free Choice of Services
Since 1972, federal law has required all state Medicaid programs to cover family planning services and supplies for all enrollees of reproductive age, and to do so without copayments or other forms of patient out-of-pocket costs. expand on that requirement, making it clear that Medicaid enrollees must be “free from coercion or mental pressure and free to choose the method of family planning to be used.”
Beyond those basic rules, however, states have traditionally had considerable leeway in deciding which family planning services and supplies would be covered under Medicaid. States have sometimes imposed, or allowed Medicaid managed care plans to impose, additional restrictions on enrollees’ choice of methods and services in the name of controlling utilization and costs.
This started to change with the Affordable Care Act (ACA). People newly eligible for Medicaid under the ACA’s Medicaid expansion are enrolled in Alternative Benefit Plans (ABPs), which are designed to mirror private-sector health plans and therefore must comply with the ACA’s requirement to cover a wide array of recommended preventive services without cost-sharing. That includes contraceptive counseling and services and every contraceptive method for women (currently 18 of them) recognized by the .
CMS has not required states to cover the same list of contraceptive methods for traditional Medicaid enrollees. But in a, the agency recommended that states cover every contraceptive method, including both prescription and over-the-counter methods, arguing that “because not all forms of contraception are appropriate for all beneficiaries, in the absence of contraindications, patient choice and efficacy should be the principal factors used in choosing one method of contraception over another.”What does brandon on the bachelorette do for a living? How to recover apple id? What does it mean when a cat licks your hand? What does grouper taste like? How to upload photos to icloud? How to fix temple tips? What is lyrica? How to learn card magic tricks? How to get taller? How to solve a 3x3 rubik's cuberubicks cube speed solving tips and tricks? That which does not kill us makes us stronger meaning? How to enter bios? How to get pearls in animal crossing? How to make queso blanco? How to cook frozen crab legs? How many years of college to be a teacher? What does pending mean on facebook marketplace? Trust the overthinker who tells you meaning? What does the white heart emoji mean from a girl? How to beat visual tricks in luigi's mansion dark moon? how to solve first puzzle icthalrin little helper How far to st louis? Wheelchair how to tips? What does i plead the 5th mean? What are fables? My dog stopped doing tricks why? How to cook stuffed pork chops? How to get free roblox? What does append mean? What level does koffing evolve? Device that tips over when full? What is pluto tv? why does slack helper take so much memory How to do gymnastics tricks at home for beginners? what is a mtor/rictor-dependent t helper 2 pathway What time is high tide? What does pentecost mean? How to start a nonprofit organization? How to add someone on whatsapp? How can i get black exhaust tips for my bmw e46 m3? H&r block where to enter tips in w2? What does dash mean? How to get rid of ants overnight? How many series of new tricks? Tips to avoid when using hand tools?