5101:3-21-02.1 Medicaid reproductive health services: temporary pregnancy prevention/contraceptive management services.

(A) Medicaid covered temporary pregnancy prevention/contraceptive management services include:

(1) Evaluation and management (office) visits and consultations for the purpose of:

(a) Temporary pregnancy prevention/contraceptive management; and/or

(b) Pregnancy examination and testing, with either a negative or inconclusive result, that includes provision of information about pregnancy prevention;

(2) Individual preventive medicine counseling and or risk factor reduction(s) (health education) for the purpose of:

(a) Temporary pregnancy prevention/contraceptive management, including but not limited to fertility awareness and natural family planning ("Natural family planning" is the use of fertility awareness-based methods to track ovulation in order to prevent pregnancy. Such methods may include but are not limited to observing changes in cervical mucus and recording the dates of menstrual cycles.); and/or

(b) Pregnancy determination services when pregnancy testing yields a negative or inconclusive result and provision of information about pregnancy prevention is provided;

(3) Medical/surgical services/procedures provided for the purpose of temporary pregnancy prevention/contraceptive management (i.e., injection, fitting, insertion, removal of contraceptive devices);

(4) Laboratory tests and procedures provided for the purpose of temporary pregnancy prevention/contraceptive management, in accordance with Chapter 5101:3-11 of the Administrative Code;

(5) Drugs prescribed for the purpose of temporary pregnancy prevention/contraceptive management, in accordance with Chapter 5101:3-9 of the Administrative Code; and

(6) Supplies provided for the purpose of temporary pregnancy prevention/contraceptive management, in accordance with appendix A to rule 5101:3-10-03 of the Administrative Code.

Replaces: Part of 5101:3-4-07

Effective: 07/01/2009
R.C. 119.032 review dates: 07/01/2014
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01, 5111.02, 5111.021
Prior Effective Dates: 9/1/89, 5/25/91, 4/1/92 (Emer), 7/1/92, 12/31/92, (Emer), 4/1/93, 5/2/94 (Emer), 7/1/94, 3/20/95, 1/1/01, 10/1/03, 12/30/05 (Emer), 3/27/06