WAC 182-532-100 Reproductive health services—Client eligibility

Effective September 1, 2013

  1. The medicaid agency covers limited reproductive health services for clients eligible for the following:
    1. Children's health insurance program (CHIP);
    2. Categorically needy program (CNP);
    3. Medical care services (MCS) program;
    4. Limited casualty program-medically needy program (LCP-MNP); and
    5. Alcohol and Drug Abuse Treatment and Support Act (ADATSA) services.
  2. Clients enrolled in a medicaid agency-contracted managed care organization (MCO) may self-refer outside their MCO for family planning services (excluding sterilizations for clients twenty-one years of age or older), abortions, and sexually transmitted infection (STI) services. These clients may seek services from any of the following:
    1. A medicaid agency-approved family planning provider;
    2. A medicaid agency-contracted local health department/STI clinic;
    3. A medicaid agency-contracted provider for abortion services; or
    4. A medicaid agency-contracted pharmacy

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.