Clinical Policy 1E-7, Family Planning Services Revised Effective May 1, 2021

Tuesday, March 30, 2021

All temporary Family Planning Services policy flexibilities outlined in COVID-19 Special Bulletins remain in effect as of this publication date. See COVID-19 Special Bulletins for details.

An amended version of Clinical Coverage Policy 1E-7, Family Planning Services, with an effective date of May 1, 2021, will post to the NC Medicaid Clinical Coverage Policy webpage. The following permanent policy updates are being made for “Be Smart” Family Planning Medicaid (MAFDN) and traditional Medicaid beneficiaries and will be effective May 1, 2021. 

  1. Allowance for prescribing Oral Contraceptive Pills (OCPs) will be extended from a three-month supply to a 12-month supply.
  2. Policy clarification that Emergency Contraception is available from the pharmacist with a prescription only.

Providers are encouraged to review Clinical Coverage Policy 1E-7, Family Planning Services for a detailed overview of the policy.

Contact

NCTracks Call Center: 800-688-6696