Federal Consent for Sterilization form, HHS-687-Expiration

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Apple Health (Medicaid) Provider Alert

Federal Consent for Sterilization form, HHS-687 Expiration

The federal Consent for Sterilization form, HHS-687, has an expiration date of December 31, 2018. There is currently no update to the federal form or website. The Health Care Authority (HCA) will continue to accept the current form until a new version is published.

HCA will send a follow-up provider alert to inform you when the federal form is updated and include a timeframe for acceptable use of the current form.

For questions or concerns, email Family Planning.