Family Planning Services. 4.6.4.1 The Contractor shall provide access to Family Planning Services within the network to Members and P4HB Participants. In meeting this obligation, the Contractor shall make a reasonable effort to contract with all family planning clinics, including those funded by Title X of the Public Health Services Act, for the provision of Family Planning Services. The Contractor shall verify its efforts to contract with Title X Clinics by maintaining records of communication. The Contractor shall not limit Members' or P4HB Participants freedom of choice for family planning services to In-Network Providers and the Contractor shall cover services provided by any qualified Provider regardless of whether the Provider is In-Network. The Contractor shall not require a Referral if a Member or P4HB Participant chooses to receive Family Planning services and supplies from outside of the network. 4.6.4.2 The Contractor shall inform Members and P4HB Participants of the availability of family planning services and must provide services to Members and P4HB Participants wishing to prevent pregnancies, plan the number of pregnancies, plan the spacing between pregnancies, or obtain confirmation of pregnancy. 4.6.4.3 Family Planning Services and supplies for Members and P4HB Participants include at a minimum: • Education and counseling necessary to make informed choices and understand contraceptive methods; • Initial and annual complete physical examinations including a pelvic examination and Pap test; • Follow-up, brief and comprehensive visits. P4HB Participants are allowed up to four (4) such visits per year of participation in the Demonstration; • Pregnancy testing; • Contraceptive supplies and follow-up care; • Diagnosis of sexually transmitted infections; • Treatment of sexually transmitted infections with the following exception – P4HB Participants are excluded from receiving drugs for the treatment of HIV/AIDS and hepatitis under the Demonstration; • For P4HB Participants – Drugs, supplies, or devices related to the women’s health services described above that are prescribed by a health care provider who meets the State’s provider enrollment requirement; (subject to the national drug rebate program requirements). • Infertility assessments with the following exception – P4HB Participants are excluded from receiving this benefit. 4.6.4.4 The Contractor shall furnish all services on a voluntary and confidential basis, even if the Member is less than eighteen (18) years of age.
Appears in 2 contracts
Samples: Contract for Provision of Services, Contract for Provision of Services (Wellcare Health Plans, Inc.)
Family Planning Services. 4.6.4.1 The Contractor shall provide access to Family Planning Services within the network to Members and P4HB Participants. In meeting this obligation, the Contractor shall make a reasonable effort to contract with all family planning clinics, including those funded by Title X of the Public Health Services Act, for the provision of Family Planning Services. The Contractor shall verify its efforts to contract with Title X Clinics by maintaining records of communication. The Contractor shall not limit Members' or P4HB Participants freedom of choice for family planning services to In-Network Providers and the Contractor shall cover services provided by any qualified Provider regardless of whether the Provider is In-Network. The Contractor shall not require a Referral if a Member or P4HB Participant chooses to receive Family Planning services and supplies from outside of the network.
4.6.4.2 The Contractor shall inform Members and P4HB Participants of the availability of family planning services and must provide services to Members and P4HB Participants wishing to prevent pregnancies, plan the number of pregnancies, plan the spacing between pregnancies, or obtain confirmation of pregnancy.
4.6.4.3 Family Planning Services and supplies for Members and P4HB Participants include at a minimum: • · Education and counseling necessary to make informed choices and understand contraceptive methods; • · Initial and annual complete physical examinations including a pelvic examination and Pap test; • · Follow-up, brief and comprehensive visits. P4HB Participants are allowed up to four (4) such visits per year of participation in the Demonstration; • · Pregnancy testing; • · Contraceptive supplies and follow-up care; • · Diagnosis of sexually transmitted infections; • · Treatment of sexually transmitted infections with the following exception – P4HB Participants are excluded from receiving drugs for the treatment of HIV/AIDS and hepatitis under the Demonstration; • · For P4HB Participants – Drugs, supplies, or devices related to the women’s health services described above that are prescribed by a health care provider who meets the State’s provider enrollment requirement; (subject to the national drug rebate program requirements). • · Infertility assessments with the following exception – P4HB Participants are excluded from receiving this benefit.
4.6.4.4 The Contractor shall furnish all services on a voluntary and confidential basis, even if the Member is less than eighteen (18) years of age.
Appears in 2 contracts
Samples: Contract for Provision of Services (Wellcare Health Plans, Inc.), Contract (Centene Corp)
Family Planning Services. 4.6.4.1 The Contractor shall provide access to Family Planning Services within the network to Members and P4HB Participants. In meeting this obligation, the Contractor shall make a reasonable effort to contract with all family planning clinics, including those funded by Title X of the Public Health Services Act, for the provision of Family Planning Services. The Contractor shall verify its efforts and Documented Attempts to contract with Title X Clinics by maintaining records of communication. The Contractor shall not limit Members' or P4HB Participants Participants’ freedom of choice for family planning services to In-Network Providers and the Contractor shall cover services provided by any qualified Provider regardless of whether the Provider is In-In- Network. The Contractor shall not require a Referral if a Member or P4HB Participant chooses to receive Family Planning services and supplies from outside of the network.
4.6.4.2 The Contractor shall inform Members and P4HB Participants of the availability of family planning services and must provide services to Members and P4HB Participants wishing to prevent pregnancies, plan the number of pregnancies, plan the spacing between pregnancies, or obtain confirmation of pregnancy.
4.6.4.3 Family Planning Services and supplies for Members and P4HB Participants include at a minimum: • :
4.6.4.3.1 Education and counseling necessary to make informed choices and understand contraceptive methods; • ;
4.6.4.3.2 Initial and annual complete physical examinations including a pelvic examination and Pap test; • ;
4.6.4.3.3 Follow-up, brief and comprehensive visits. P4HB Participants are allowed up to four (4) such visits per year of participation in the Demonstration; • ;
4.6.4.3.4 Pregnancy testing; • ;
4.6.4.3.5 Contraceptive supplies and follow-up care; • ;
4.6.4.3.6 Diagnosis of sexually transmitted infections; • Treatment and treatment of sexually transmitted infections with the following exception – exceptions: P4HB Participants participants are excluded from receiving drugs for the treatment of HIV/AIDS and hepatitis under the Demonstration; • ;
4.6.4.3.7 For P4HB Participants – participants: Drugs, supplies, or devices related to the women’s health services described above that are prescribed by a health care provider who meets the State’s provider enrollment requirement; (subject to the national drug rebate program requirements). • ; and
4.6.4.3.8 Infertility assessments with the following exception – P4HB Participants participants are excluded from receiving this benefit.
4.6.4.4 The Contractor shall furnish all services on a voluntary and confidential basis, even if the Member is less than eighteen (18) years of age.
Appears in 1 contract
Samples: Contract for Provision of Services
