Division Of Medicaid’s Family Planning Waiver (FPW) · 2016. 3. 23. · Effective Jan. 1, 2015,...
Transcript of Division Of Medicaid’s Family Planning Waiver (FPW) · 2016. 3. 23. · Effective Jan. 1, 2015,...
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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
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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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