What do Medicaid Family Planning Programs Cover?

MFPPs cover family planning and related services. The exact services and supplies covered vary by state but often include all FDA-approved methods of contraception, including permanent methods, reproductive cancer screenings and vaccines, and STI testing and treatment.

Family Planning Services

Family planning services and supplies are those intended to “prevent or delay pregnancy and may include education and counseling in the method of contraception desired or currently in use by the individual, a medical visit to change the method of contraception, and (at the state’s option) infertility treatment.”

Family Planning Services are matched by the federal government at 90%, leaving states responsible for just 10% of the costs of these services. Family planning services in MFPPs must be covered to the same extent as they are in the standard benefit package under your state plan.

Family Planning Related Services

Family-planning related services “are medical, diagnostic, and treatment services provided pursuant to a family planning visit that address an individual’s medical condition” and may include treatment for urinary tract infections or sexually transmitted infections, HPV vaccines, and preventative services routinely provided during family planning visits. This could include preconception care and support for patients looking to improve their health prior to pregnancy! States have flexibility in determining what family planning-related services to cover, allowing states to recognize the broad spectrum of care that relates to planning for healthy families and futures.

Family Planning- Related Services are matched by the federal government at the state’s regular FMAP (Federal Medical Assistance Percentage) rate. Find your state’s FMAP rate here.

Click the image below to learn more about MFPPs in ICAN!’s Medicaid Family Planning Program Policy Toolkit!

Sources: CTRS. FOR MEDICARE & MEDICAID SERVS. SHO # 16-008, MEDICAID FAMILY PLANNING SERVICES AND SUPPLIES (2016) and §§ 1905(a)(4)(C) and 1937(b)(7) of the Social Security Act.