Post on 17-Sep-2020
Division Of Medicaid’s Family Planning Waiver
(FPW)
O f f i c e o f t h e G o v e r n o r | M i s s i s s i p p i D i v i s i o n o f M e d i c a i d
1115 Demonstration Waiver
Effective January 1, 2015 through
December 31, 2017
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 2
Allows the state of Mississippi to provide Medicaid benefits for
Family Planning and Family Planning related services
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 3
Who is eligible?
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 4
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
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 5
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.
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 6
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
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 7
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
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 8
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.
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 9
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/
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 0
MS Division of Medicaid website – medicaid.ms.gov
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 1
MS Division of Medicaid website – medicaid.ms.gov
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 2
MS Division of Medicaid website – medicaid.ms.gov
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 3
MS Division of Medicaid Website
Fee Schedules and Rates
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 4
Click on Providers
Click on Fee Schedules and Rates
MS Division of Medicaid Website
MS Envision
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 5
WHERE DO I FIND ALL OF THIS INFORMATION AFTER THE WEBINAR?
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 6
MS Division of Medicaid website – medicaid.ms.gov
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 7
MS Division of Medicaid website – medicaid.ms.gov
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 8
Contact Medical Services
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 1 9
Questions & Answer Session
O F F I C E O F T H E G O V E R N O R | M I S S I S S I P P I D I V I S I O N O F M E D I C A I D 2 0