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Application
and Brochure
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| Please print the application and bring to your next visit to the Family Planning Clinic. |
PLANFIRST! Family Planning Services Available July 1, 2006
On March 1, 2006, the Centers for Medicare and Medicaid Services (CMS) approved Michigan's submission of a Section
1115 demonstration waiver to provide family planning services to Michigan citizens meeting certain eligibility requirements.
The demonstration waiver is approved for five (5) years with an implementation date of July 1, 2006. This program will enable
the Michigan Department of Community Health (MDCH) to provide family planning services to women who otherwise would not have medical
coverage for these services.
Eligibility
Through this waiver, MDCH will offer eligibility for family planning services to women of childbearing age, 19 through 44 years
of age, who are not currently Medicaid eligible, do not have full family planning benefits through private insurance, including Medicare,
and who have family income at or below 185% of the federal poverty level (FPL).
Coverage will be limited to women who reside in Michigan. Applications are available at local health departments, local Department of
Human Services (DHS) offices, and Title X clinics.
Covered Services
A woman's coverage will continue for the duration of the waiver as long as the eligibility criteria are met. Program determinations
will be completed annually. Family planning services are defined as any medically approved means, including diagnostic evaluation,
pharmaceuticals, and supplies, for voluntarily preventing or delaying pregnancy.
There will be no patient co-pays for family planning services, supplies or pharmaceuticals. Services covered under this waiver include:
- Initial physical exam and health history, including patient education and counseling relating to reproductive health and family
planning options;
- Annual physical examination for reproductive health/family planning purposes, including a pap smear and testing for sexually
transmitted infections when indicated;
- Brief and intermediate follow up office visit related to family planning;
- Necessary family planning/reproductive health-related laboratory procedures and diagnostic tests;
- Contraceptive management including drugs and supplies;
- Insertion, implant or injection of contraceptive drugs or devices;
- Removal of contraceptive devices;
- Sterilization services and related laboratory services (as long as a properly completed sterilization consent form has
been submitted); and
- Medications required incidental to or as part of a procedure done for family planning purposes.
The Family Planning service benefit will not include coverage of abortions or treatment of infertility.
Application and
Brochure
Please print the application and bring to your next visit at the Family Planning Clinic.
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