227.11 Family Planning MA Covered and Non-Covered Services (MAM)

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Family Planning services means family planning services and supplies described in section 1905(a)(4)(c) of the Social Security Act (SSA) [42 USC 1396d(a)(4)(c)], including medical services, medical procedures, and pharmaceutical supplies and devices provided by or under the supervision of a physician or other health professional that allow an individual to prevent or delay pregnancy or to otherwise control family size.

Family Planning-Related services means certain medical diagnosis and treatment services and pharmaceutical supplies that are provided pursuant to a family planning service in a family planning setting.

For a complete list of covered and non-covered services, refer to NH administrative rules PART He-W 509, FAMILY PLANNING EXPANSION CATEGORY (FPEC) (http://gencourt.state.nh.us/rules/state_agencies/he-w500.html).

Individuals who are eligible for Family Planning medical assistance, are eligible for family planning services and family planning-related services if the individual has reached reproductive maturity and, if female, is not pregnant.

References: He-W 509, He-W 626, RSA 126-A:4-c, Section 1902(a)(10)(A)(ii) of the Social Security Act [42 U.S.C. 1396a(a)(10)(A)(ii)], 42 USC 1396r-1c, 42 U.S.C. 1396a(ii)(3)