WAC 182-532-540 Family planning only program—Noncovered services

Effective September 1, 2013

  1. Medical services are not covered under the family planning only program unless those services are:
    1. Performed in relation to a primary focus and diagnosis of family planning; and
    2. Medically necessary for a client to safely and effectively use, or continue to use, her chosen contraceptive method.
  2. The medicaid agency does not cover inpatient services under the family planning only program except for complications arising from covered family planning services. For approval of exceptions, providers of inpatient services must submit a report to the medicaid agency, detailing the circumstances and conditions that required inpatient services. (See WAC 182-501-0160.)

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.