Medicaid and Family Planning: Background and Implications of the ACA

Usha Ranji, Yali Bair, and Alina Salganicoff
Published: Feb 03, 2016

Appendix 4: Coverage Requirements for Medicaid Family Planning Services

Appendix 4: Coverage Requirements for Medicaid Family Planning Services, by Type of Program
	Coverage Requirement
	Traditional Full-Scope Medicaid	Medicaid Family Planning Program	ACA Medicaid Expansion
FDA-approved prescription contraceptives: oral contraceptives vaginal ring IUD injectables patch implants diaphragm ella	State determined for each method	State determined for each method	Federally required for all FDA-approved methods
Sterilization for women	State determined	State determined	Federally required
FDA-approved over the counter contraceptives: male condom female condom Sponge Plan B	State determined for each method	State determined for each method	State determined for each method without a prescription; federally required if prescribed
Contraceptive counseling	State determined	State determined	Federally required
STI and HIV counseling	State determined	State determined	Federally required
STI testing	State determined	State determined	Federally required
HIV testing	State determined	State determined	Federally required
HPV testing	State determined	State determined	Federally required
HPV vaccine	Federally required for beneficiaries ages 11-21; State determined for beneficiaries 22 and older	State determined for beneficiaries 22 and older	Federally required
Cervical cancer screening	State determined	State determined	Federally required
Breast cancer screening	State determined	State determined	Federally required