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Family Planning

The Family Planning Waiver program is for women and men who receive Medicaid benefits limited to family planning services and family planning related services. This includes one annual visit and subsequent visits related to their birth control methods and family planning services. Beneficiaries cannot exceed a total of four visits per federal fiscal year (Oct. 1-Sept. 30). These beneficiaries are not eligible to receive any other Medicaid benefits.

Beneficiaries certified as eligible for family planning services and family planning related services must re-certify every year to remain eligible for the family planning waiver demonstration. Loss of eligibility will occur when beneficiary:

  • Moves from the state of Mississippi
  • Becomes eligible for another Medicaid aid category
  • Becomes pregnant
  • Reaches 45 years of age
  • Has a procedure performed that prevents them from reproducing
  • Obtains Medicare, CHIP, or any other health insurance or third party medical coverage
  • Requests that their case be closed.

The Family Planning Waiver demonstration program originally began on Oct. 1, 2003 and the program was renewed on January 1, 2015.

Family Planning Waiver demonstration extension request

Pursuant to 42 C.F.R. Section 431.408, public notice is hereby given to the submission of a Medicaid proposed demonstration renewal request of the Family Planning Waiver (FPW), effective January 1, 2018 through December 31, 2022. The current, extension of the Mississippi Family Planning Waiver 1115 Research and Demonstration Waiver 11-W-00157/4 will expire on December 31, 2017. Learn more by reading the following documents:

Annual Post-Award Forum

Pursuant to 42 C.F.R. Section 431.420(c), public notice is hereby given to the annual Post-Award Forum on the Division of Medicaid’s Family Planning Waiver. The annual Post-Award Forum provides stakeholders and the general public the opportunity to provide meaningful comment on the progress of the Family Planning Waiver. The Family Planning Waiver operates under the authority of an 1115(a) waiver approved by the Centers for Medicare and Medicaid Services (CMS). The Post-Award Forum will be held from 10:30 a.m. to 12:00 noon on Tuesday, July 11, 2017, in room 145 at the Woolfolk Building, 501 N. West Street, Jackson, MS 39201. There will be an opportunity for public comment at the forum.

Who is Eligible for Family Planning?

Beneficiaries must meet the following eligibility criteria:

  • Family income is at or below 194% of the federal poverty level (FPL)
  • Must be capable of reproducing ages 13-44 years of age.
  • Must not have had a procedure that prevents them from reproducing.
  • Must not have Medicare, CHIP, or any other health insurance or third party medical coverage.

Income Limits

Family income must be at or below 194% of the federal poverty level (FPL).

The automated voice response system (AVRS) eligibility transaction response will identify these beneficiaries as eligible for family planning services only, in Medicaid Aid Category 029 (Family Planning).

Family Planning Waiver Yellow Medicaid ID Card

Family Planning Waiver Yellow Medicaid ID Card

Women and men who qualify will be issued a yellow Medicaid identification card to denote that they are in the Family Planning Waiver demonstration program.

Family Planning Waiver Resources

Medications
Effective January 1, 2015, beneficiaries enrolled in the Family Planning waiver demonstration program may have a prescription for contraceptives and/or medications to treat a sexually transmitted infection (STI)/sexually transmitted disease (STD) written by any Medicaid participating provider filled at their local Medicaid participating pharmacy.