Section 182-532-540. Family planning only program—Noncovered services.

(1) Medical services are not covered under the family planning only program unless those services are:

(a) Performed in relation to a primary focus and diagnosis of family planning; and

(b) Medically necessary for a client to safely and effectively use, or continue to use, her chosen contraceptive method.

(2) The medicaid agency does not cover inpatient services under the family planning only program except for complications arising from covered family planning services. For approval of exceptions, providers of inpatient services must submit a report to the medicaid agency, detailing the circumstances and conditions that required inpatient services. (See WAC 182-501-0160.)

[Statutory Authority: RCW 41.05.021, 74.09.520, 74.09.657, 74.09.659, and 74.09.800. WSR 13-16-008, § 182-532-540, filed 7/25/13, effective 9/1/13. WSR 11-14-075, recodified as § 182-532-540, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.520, and 74.09.800. WSR 05-24-032, § 388-532-540, filed 11/30/05, effective 12/31/05; WSR 04-05-011, § 388-532-540, filed 2/6/04, effective 3/8/04.]

RCW 41.05.021, 74.09.520, 74.09.657, 74.09.659, and 74.09.800. WSR 13-16-008, § 182-532-540, filed 7/25/13, effective 9/1/13. WSR 11-14-075, recodified as § 182-532-540, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090, 74.09.520, and 74.09.800. WSR 05-24-032, § 388-532-540, filed 11/30/05, effective 12/31/05; WSR 04-05-011, § 388-532-540, filed 2/6/04, effective 3/8/04.

Rules

182-501-0160,