5160-21-02.1 Medicaid reproductive health services: temporary pregnancy prevention/contraceptive management services.

 

 

 

TO BE RESCINDED

 

5160-21-02.1               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.

Effective:                                                             07/01/2016

Five Year Review (FYR) Dates:                         02/03/2016

CERTIFIED ELECTRONICALLY

Certification

05/27/2016

Date

Promulgated Under:                           119.03

Statutory Authority:                           5164.02

Rule Amplifies:                                  5162.03, 5164.02, 5164.70

Prior Effective Dates:                         09/01/1989, 05/25/1991, 04/01/1992 (Emer),

07/01/1992, 12/31/1992 (Emer), 04/01/1993,

05/02/1994 (Emer), 07/01/1994, 03/20/1995,

01/01/2001, 10/01/2003, 12/30/2005 (Emer),

03/27/2006, 07/01/2009