Provider Notice for Medicaid Family Planning Waiver Services

Florida Medicaid, in collaboration with the Department of Health, extends Medicaid coverage for family planning services only. This program is for women, ages 14-55, who have lost their Florida Medicaid eligibility benefits and meet family planning waiver eligibility requirements.

Medicaid providers will receive reimbursement for family planning services provided to recipients with family planning waiver eligibility.

Please read the following information to learn more about the extended family planning waiver services program. We look forward to working with you and your staff to make this program a success for the women of Florida. For additional information, please call 1-877-254-1055 (8:00 a.m. ET - 5:00 p.m. ET).

Questions and Answers for Providers

Q. What are Medicaid Family Planning Waiver Services?

A. They are the same services covered under the regular Medicaid family planning program, with one exception. These services are only available to qualified women who lose eligibility for Medicaid.

Q. Who is eligible for these services?

A. Women, ages 14-55, who have lost Medicaid eligibility; desire family planning services; are at or below 185% of the federal poverty level; have no medical insurance covering family planning services; and are capable of having a child. This includes beneficiaries that have lost Medicaid managed care coverage.

Q. How do I know if a woman is eligible?

A. Medicaid Eligibility Verification Systems (MEVS), and all other methods of verifying recipient eligibility will identify these women as eligible for waiver services with an eligibility category "FP". They will not be eligible for any other Medicaid benefits.

Q. What procedures are covered?

A. See the list of reimbursable services.

Q. How much do I get paid?

A. Participating providers receive the same reimbursement rates for family planning waiver services as they receive for regular Medicaid family planning services.

Q. How do I sign up?

A. Since you are already enrolled as a Medicaid provider and provide family planning services to Medicaid patients, you do not need to do anything else.

Q. How do I get more information?

A. Call 1-877-254-1055 (8:00 a.m. ET - 5:00 p.m. ET) for more information.