Sec. 10.67.06.19. Benefits — Family Planning Services

Latest version.

A. An MCO shall provide to its enrollees comprehensive family planning services, including but not limited to medically necessary office visits and laboratory tests, all FDA-approved contraceptive devices, methods, and supplies, and voluntary sterilizations.

B. An MCO may place appropriate limits on family planning services for the purpose of utilization control, provided that the services are provided in a manner that protects and enables the enrollees freedom to choose the method of family planning to be used consistent with 42 CFR §441.20.

C. An MCO may not apply a copayment or coinsurance requirement for contraceptive drugs or devices.

D. An MCO shall provide coverage for a single dispensing of a supply of prescription contraceptives for a 12-month period.

                    
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