Family Planning Services. a. The Health Plan shall provide family planning services for the purpose of enabling Enrollees to make comprehensive and informed decisions about family size and/or spacing of births. The Health Plan shall provide the following services: planning and referral, education and counseling, initial examination, diagnostic procedures and routine laboratory studies, contraceptive drugs and supplies, and follow-up care in accordance with the Medicaid Physicians Services Coverage and Limitations Handbook. Policy requirements include: (1) The Health Plan shall furnish services on a voluntary and confidential basis. (2) The Health Plan shall allow Enrollees freedom of choice of family planning methods covered under the Medicaid program, including Medicaid covered implants, where there are no medical contra-indications. (3) The Health Plan shall render the services to Enrollees under the age of eighteen (18) provided the Enrollee is married, a parent, pregnant, has written consent by a parent or legal guardian, or in the opinion of a physician, the Enrollee may suffer health hazards if the services are not provided. See Section 390.01114, F.S. (4) The Health Plan shall allow each Enrollee to obtain family planning services from any Provider and require no prior authorization for such services. If the Enrollee receives services from a non-network Medicaid provider, then the Plan must reimburse at the Medicaid reimbursement rate, unless another payment rate is negotiated. (5) The Health Plan shall make available and encourage all pregnant women and mothers with infants to receive postpartum visits for the purpose of voluntary family planning, including discussion of all appropriate methods of contraception, counseling and services for family planning to all women and their partners. The Health Plan shall direct Providers to maintain documentation in the Enrollee's Medical Records to reflect this provision. See Section 409.912, F.
Appears in 2 contracts
Samples: Health Care Services Contract (Wellcare Health Plans, Inc.), Health Care Services Contract (Wellcare Health Plans, Inc.)
Family Planning Services. a. The Health Plan shall provide family planning services for the purpose of enabling Enrollees to make comprehensive and informed decisions about family size and/or spacing of births. The Health Plan shall provide the following services: planning and referral, education and counseling, initial examination, diagnostic procedures and routine laboratory studies, contraceptive drugs and supplies, and follow-up care in accordance with the Medicaid Physicians Services Coverage and Limitations Handbook. Policy requirements include:
(1) a. The Health Plan shall furnish services on a voluntary and confidential basis.
(2) b. The Health Plan shall allow Enrollees freedom of choice of family planning methods covered under the Medicaid program, including Medicaid covered implants, where there are no medical contra-indications.
(3) c. The Health Plan shall render the services to Enrollees under the age of eighteen (18) provided the Enrollee is married, a parent, pregnant, has written consent by a parent or legal guardian, or in the opinion of a physician, the Enrollee may suffer health hazards if the services are not provided. See Section 390.01114section 31.0051, F.S.
(4) d. The Health Plan shall allow each Enrollee to obtain family planning services from any Medicaid Provider and require no prior authorization for such services. If the Enrollee receives services from a non-network Medicaid provider, then the Health Plan must reimburse at the Medicaid reimbursement rate, unless another payment rate is negotiated.
(5) e. The Health Plan shall make available and encourage all pregnant women and mothers with infants to receive postpartum visits for the purpose of voluntary family planning, including discussion of all appropriate methods of contraception, counseling and services for family planning to all women and their partners. The Health Plan shall direct Providers to maintain documentation in the Enrollee's Medical Records to reflect this provision. See Section section 409.912, F.F.S.
f. The provisions of this subsection shall not be interpreted so as to prevent a health care provider or other person from refusing to furnish any contraceptive or family planning service, supplies or information for medical or religious reasons. A health care provider or other person shall not be held liable for such refusal.
Appears in 2 contracts
Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)
Family Planning Services. a. The Health Plan shall provide family planning services for the purpose of enabling Enrollees to help enrollees make comprehensive and informed decisions about family size and/or spacing of births. The Health Plan shall provide the following services: planning and referral, education and counseling, initial examination, diagnostic procedures and routine laboratory studies, contraceptive drugs and supplies, and follow-up care in accordance with the Medicaid Physicians Services Coverage and Limitations Handbook. Policy requirements include:
(1) a. The Health Plan shall furnish services on a voluntary and confidential basis.
(2) b. The Health Plan shall allow Enrollees enrollees freedom of choice of family planning methods covered under the Medicaid program, including Medicaid Medicaid-covered implants, where there are no medical contra-indications.
(3) c. The Health Plan shall render the services to Enrollees enrollees under the age of eighteen (18) 18 provided the Enrollee enrollee is married, a parent, pregnant, has written consent by a parent or legal guardian, or or, in the opinion of a physician, the Enrollee enrollee may suffer health hazards if the services are not provided. See Section s. 390.01114, F.S.
(4) d. The Health Plan shall allow each Enrollee enrollee to obtain family planning services from any Provider provider and require no prior authorization for such services. If For capitated Health Plans, if the Enrollee enrollee receives services from a non-network Medicaid provider, then the Health Plan must shall reimburse at the Medicaid reimbursement rate, unless another payment rate is negotiated.
(5) e. The Health Plan shall make available and encourage all pregnant women and mothers with infants to receive postpartum visits for the purpose of voluntary family planning, including discussion of all appropriate methods of contraception, counseling and services for family planning to all women and their partners. The WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract Health Plan shall direct Providers providers to maintain documentation in the Enrolleeenrollee's Medical Records medical records to reflect this provision. See Section s. 409.912, F.F.S.
f. The provisions of this subsection shall not be interpreted so as to prevent a health care provider or other person from refusing to furnish any contraceptive or family planning service, supplies or information for medical or religious reasons. A health care provider or other person shall not be held liable for such refusal.
Appears in 2 contracts
Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)
Family Planning Services. a. The Health Plan shall provide family planning services for the purpose of enabling Enrollees to help enrollees make comprehensive and informed decisions about family size and/or spacing of births. The Health Plan shall provide the following services: planning and referral, education and counseling, initial examination, diagnostic procedures and routine laboratory studies, contraceptive drugs and supplies, and follow-up care in accordance with the Medicaid Physicians Services Coverage and Limitations Handbook. Policy requirements include:
(1) a. The Health Plan shall furnish services on a voluntary and confidential basis.
(2) b. The Health Plan shall allow Enrollees enrollees freedom of choice of family planning methods covered under the Medicaid program, including Medicaid Medicaid-covered implants, where there are no medical contra-indications.
(3) c. The Health Plan shall render the services to Enrollees enrollees under the age of eighteen (18) 18 provided the Enrollee enrollee is married, a parent, pregnant, has written consent by a parent or legal guardian, or or, in the opinion of a physician, the Enrollee enrollee may suffer health hazards if the services are not provided. See Section s. 390.01114, F.S.
(4) d. The Health Plan shall allow each Enrollee enrollee to obtain family planning services from any Provider provider and require no prior authorization for such services. If For capitated Health Plans, if the Enrollee enrollee receives services from a non-network Medicaid provider, then the Health Plan must shall reimburse at the Medicaid reimbursement rate, unless another payment rate is negotiated.
(5) e. The Health Plan shall make available and encourage all pregnant women and mothers with infants to receive postpartum visits for the purpose of voluntary family planning, including discussion of all appropriate methods of contraception, counseling and services for family planning to all women and their partners. The Health Plan shall direct Providers providers to maintain documentation in the Enrolleeenrollee's Medical Records medical records to reflect this provision. See Section s. 409.912, F.F.S.
f. The provisions of this subsection shall not be interpreted so as to prevent a health care provider or other person from refusing to furnish any contraceptive or family planning service, supplies or information for medical or religious reasons. A health care provider or other person shall not be held liable for such refusal.
Appears in 2 contracts
Samples: Standard Contract (Wellcare Health Plans, Inc.), Standard Contract (Wellcare Health Plans, Inc.)
Family Planning Services. a. The Health Plan shall provide family planning services for the purpose of enabling Enrollees to make comprehensive and informed decisions about family size and/or spacing of births. The Health Plan shall provide the following services: planning and referral, education and counseling, initial examination, diagnostic procedures and routine laboratory studies, contraceptive drugs and supplies, and follow-up care in accordance with the Medicaid Physicians Services Coverage and Limitations Handbook. Policy requirements include:
(1) The Health Plan shall furnish services on a voluntary and confidential basis.
(2) The Health Plan shall allow Enrollees freedom of choice of family planning methods covered under the Medicaid program, including Medicaid covered implants, where there are no medical contra-indications.
(3) The Health Plan shall render the services to Enrollees under the age of eighteen (18) provided the Enrollee is married, a parent, pregnant, has written consent by a parent or legal guardian, or in the opinion of a physician, the Enrollee may suffer health hazards if the services are not provided. See Section 390.0111431.0051, F.S.
(4) The Health Plan shall allow each Enrollee to obtain family planning services from any Provider and require no prior authorization for such services. If the Enrollee receives services from a non-network Medicaid provider, then the Plan must reimburse at the Medicaid reimbursement rate, unless another payment rate is negotiated.
(5) The Health Plan shall make available and encourage all pregnant women and mothers with infants to receive postpartum visits for the purpose of voluntary family planning, including discussion of all appropriate methods of contraception, counseling and services for family planning to all women and their partners. The Health Plan shall direct Providers to maintain documentation in the Enrollee's ’s Medical Records to reflect this provision. See Section 409.912, F.F.S.
(6) The provisions of this subsection shall not be interpreted so as to prevent a health care provider or other person from refusing to furnish any contraceptive or family planning service, supplies or information for medical or religious reasons. A health care provider or other person shall not be held liable for such refusal.
Appears in 1 contract
Family Planning Services. a. The Health Plan PSN shall provide family planning services for the purpose of enabling Enrollees to make comprehensive and informed decisions about family size and/or spacing of births. The Health Plan PSN shall provide the following services: planning and referral, education and counseling, initial examination, diagnostic procedures and routine laboratory studies, contraceptive drugs and supplies, and follow-up care in accordance with the Medicaid Physicians Services Coverage and Limitations Handbook. Policy requirements include:
(1) a. The Health Plan PSN shall furnish services on a voluntary and confidential basis.
(2) b. The Health Plan PSN shall allow Enrollees freedom of choice of family planning methods covered under the Medicaid program, including Medicaid covered implants, where there are no medical contra-indications.
(3) c. The Health Plan PSN shall render the services to Enrollees under the age of eighteen (18) provided the Enrollee is married, a parent, pregnant, has written consent by a parent or legal guardian, or in the opinion of a physician, the Enrollee may suffer health hazards if the services are not provided. (See Section section 390.01114, F.S.)
(4) d. The Health Plan PSN shall allow each Enrollee to obtain family planning services from any Provider Medicaid provider and require no prior authorization Prior Authorization for such services. If the Enrollee receives services from a non-network Medicaid provider, then the Plan must reimburse at the Medicaid reimbursement rate, unless another payment rate is negotiated.
(5) e. The Health Plan PSN shall make available and encourage all pregnant women and mothers with infants to receive postpartum visits for the purpose of voluntary family planning, including discussion of all appropriate methods of contraception, counseling and services for family planning to all women and their partners. The Health Plan PSN shall direct Providers to maintain documentation in the Enrollee's Medical Records to reflect this provision. See (Section 409.912, F.F.S.)
f. The provisions of this subsection shall not be interpreted so as to prevent a health care provider or other person from refusing to furnish any contraceptive or family planning service, supplies or information for medical or religious reasons. A health care provider or other person shall not be held liable for such refusal.
Appears in 1 contract
Family Planning Services. a. The Health Plan shall provide family planning services for the purpose of enabling Enrollees to make comprehensive and informed decisions about family size and/or spacing of births. The Health Plan shall provide the following services: planning and referral, education and counseling, initial examination, diagnostic procedures and routine laboratory studies, contraceptive drugs and supplies, and follow-up care in accordance with the Medicaid Physicians Services Coverage and Limitations Handbook. Policy requirements include:
(1) The Health Plan shall furnish services on a voluntary and confidential basis.
(2) The Health Plan shall allow Enrollees freedom of choice of family planning methods covered under the Medicaid program, including Medicaid covered implants, where there are no medical contra-contra- indications.
(3) The Health Plan shall render the services to Enrollees under the age of eighteen (18) provided the Enrollee is married, a parent, pregnant, has written consent by a parent or legal guardian, or in the opinion of a physician, the Enrollee may suffer health hazards if the services are not provided. See Section 390.01114, F.S.
(4) The Health Plan shall allow each Enrollee to obtain family planning services from any Provider and require no prior authorization for such services. If the Enrollee receives services from a non-network Medicaid provider, then the Plan must reimburse at the Medicaid reimbursement rate, unless another payment rate is negotiated.
(5) The Health Plan shall make available and encourage all pregnant women and mothers with infants to receive postpartum visits for the purpose of voluntary family planning, including discussion of all appropriate methods of contraception, counseling and services for family planning to all women and their partners. The Health Plan shall direct Providers to maintain documentation in the Enrollee's Medical Records to reflect this provision. See Section 409.912, F.
Appears in 1 contract
Samples: Health Care Services Agreement
Family Planning Services. a. The Health Plan shall provide family planning services for the purpose of enabling Enrollees to help enrollees make comprehensive and informed decisions about family size and/or spacing of births. The Health Plan shall provide the following services: planning and referral, education and counseling, initial examination, diagnostic procedures and routine laboratory studies, contraceptive drugs and supplies, and follow-up care in accordance with the Medicaid Physicians Services Coverage and Limitations Handbook. Policy requirements include:
(1) a. The Health Plan shall furnish services on a voluntary and confidential basis.
(2) b. The Health Plan shall allow Enrollees enrollees freedom of choice of family planning methods covered under the Medicaid program, including Medicaid Medicaid-covered implants, where there are no medical contra-indications.
(3) c. The Health Plan shall render the services to Enrollees enrollees under the age of eighteen (18) 18 provided the Enrollee enrollee is married, a parent, pregnant, has written consent by a parent or legal guardian, or or, in the opinion of a physician, the Enrollee enrollee may suffer health hazards if the services are not provided. See Section s. 390.01114, F.S.
(4) d. The Health Plan shall allow each Enrollee enrollee to obtain family planning services from any Provider provider and require no prior authorization for such services. If For capitated Health Plans, if the Enrollee enrollee receives services from a non-network Medicaid provider, then the Health Plan must shall reimburse at the Medicaid reimbursement rate, unless another payment rate is negotiated.
(5) e. The Health Plan shall make available and encourage all pregnant women and mothers with infants to receive postpartum visits for the purpose of voluntary family planning, including discussion of all appropriate methods of contraception, counseling and services for family planning to all women and their partners. The Health Plan shall direct Providers providers to maintain documentation in the Enrollee's Medical Records enrollee’s medical records to reflect this provision. See Section s. 409.912, F.F.S.
f. The provisions of this subsection shall not be interpreted so as to prevent a health care provider or other person from refusing to furnish any contraceptive or family planning service, supplies or information for medical or religious reasons. A health care provider or other person shall not be held liable for such refusal.
Appears in 1 contract
Samples: Standard Contract (Amerigroup Corp)