NC Medicaid offers providers a secure and convenient method to complete and submit enrollment applications through the NCTracks Provider Portal. Connect to resources for Provider Enrollment here.

• Family Planning Overview Webinar slide presentation

Why Family Planning Medicaid?

• Free reproductive health care. Family Planning Medicaid’s coverage of contraceptive methods at no cost to beneficiaries reduces a leading barrier to contraceptive access.
  
  
• Healthier adults, healthier babies. Family Planning Medicaid’s coverage of preconception health services—such as STI testing and treatment, preventive screenings, health education, and referrals to additional care—supports healthier pregnancies among beneficiaries who may become pregnant.
  
  
• Reinforcing the sustainability of safety net services. Family Planning Medicaid facilitates the financial stability of safety net organizations who offer family planning services on a sliding fee scale or have high uncompensated care costs by guaranteeing reimbursement for those essential services.

• Resources and brochures for Beneficiaries
• Family Planning Medicaid Fact Sheet for Providers

Resources for Health Educators and Advocates

• Family Planning Medicaid Clinical Coverage Policy
• Medicaid Enrollment Dashboard
• NCDHHS Women, Infant and Community Wellness Section – Website with free trainings, resources, and data to support the maternal, reproductive, infant, and community health of North Carolinians

Family Planning Medicaid has different billing and coding requirements than other Medicaid programs, including programs within NC Medicaid Direct. The attachments at the end of the current Family Planning Medicaid Clinical Coverage Policy include detailed instructions on billing & coding and other coverage restrictions. 
Providers serving Family Planning Medicaid beneficiaries MUST bill using a primary diagnosis of contraception management (1E-7 Clinical Coverage Policy, Attachment A, Section B1). This includes the following ICD-10-CM Diagnosis Codes:

• Family planning services must be billed with the appropriate code using the FP modifier.
  • All providers, except ambulatory surgical centers, must append modifier FP to the procedure code for family planning services. (1E-7 Clinical Coverage Policy, Attachment A, Section D.)
• For more information about billing and coding, see Program Specific Clinical Coverage Policies, policy 1E-7, Family Planning Services (located under Obstetrics & Gynecology).

• Family Planning Medicaid Fact Sheet for Providers
• 1E-7 Family Planning Medicaid Clinical Coverage Policy
  • Scroll down to “Obstetrics & Gynecology” and click on “1E-7, Family Planning Services”

• Medicaid Enrollment Dashboard
  • Updated monthly. Click on “FAMILY PLANNING” to see enrollment data specific to Family Planning Medicaid, including enrollee demographics and counts for each county.