The Health Care Authority (HCA) received approval from the Centers for Medicare & Medicaid Services (CMS) for the Family Planning Only (FPO) 1115 Waiver. The 5-year renewal is effective from May 1, 2025, through July 1, 2030. 

The scope of FPO services remains the same, and HCA will continue working with CMS to explore opportunities for program improvements based on community input and data.

• View the CMS approval letter
• View HCA’s acceptance letter

Key program updates

Expanded age eligibility for confidential services

The age limit for confidential services has increased from 18 years old to 26 years old. This change aligns with private coverage standards for dependents on their parent or guardian’s insurance.

Removal of pregnancy-related services from FPO

Pregnancy-related services have been removed from FPO in the Special Terms and Conditions (STC) from CMS. These services are now covered under After-Pregnancy Coverage (APC), which launched in June 2022. APC offers broader benefits, and clients are evaluated for the most comprehensive coverage available once APC ends.

Help us spread the word!

We encourage partners and stakeholders to promote FPO and other Apple Health programs. The following tools are available for sharing:

• FPO Social Media Toolkit
• OTC Flyer

Thanks to all stakeholders and partners providing care to our Washingtonians. We look forward to continuing this important work together.