Washington Family Planning Only Demonstration extended by 1 year

Washington State Health Care Authority sent this bulletin at 06/26/2023 01:30 PM PDT

June 26, 2023

Washington Family Planning Only Demonstration extended by 1 year

The current Family Planning Only (FPO) 1115 demonstration waiver has been extended by 1 year while the Centers for Medicare & Medicaid Services (CMS) continues to process applications for the five-year demonstration renewal. At this time, the 1115 FPO waiver has been extended through June 30, 2024.

FPO provides coverage for eligible populations to receive a comprehensive preventative family planning visit each year and any related family planning follow-up visits.

Covered benefits also include:

Sexual and reproductive health counseling education
Risk reduction education and supplies for all Food and Drug Administration (FDA) approved contraceptives
Natural family planning or abstinence
Permanent methods such as tubal sterilizations or vasectomies
Cervical cancer screenings
Limited sexual transmitted infection (STI) screening and testing
The human papillomavirus (HPV) vaccine

Eligibility for FPO is different from Washington’s Medicaid

FPO’s income eligibility is higher at 260% of the federal poverty level and FPO can be used by those who are covered by other insurance yet seeking confidential family planning services.

Undocumented communities are also eligible for identical benefits through the state-funded program.

View Family Planning Only client page

Order FPO brochures

To promote the coverage opportunity, see our Family Planning Only brochures translated into 15 languages.

To request a bulk shipment of printed copies (including translated versions), email Andrea Estes.

View Family Planning Only provider page

About the Health Care Authority (HCA)

The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, the School Employees Benefits Board (SEBB) Program, and the COFA Islander Health Care Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

Please do not reply directly to this message. For more information, visit the HCA website, where you'll also find contact information.

Disclosure notice

All messages we send via GovDelivery are subject to public disclosure, as are the names and email addresses of those who sign up for email notifications.

Nondiscrimination

The Washington State Health Care Authority (HCA) complies with all applicable federal and Washington state civil rights laws and is committed to providing equal access to our services. Visit HCA’s website to view complete nondiscrimination statements.