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Family Planning

  • Medicaid 1115 Family Planning Demonstration Waiver Programs

    Twenty-seven states have received Medicaid 1115 demonstration waivers to provide family planning services to individuals not otherwise eligible for Medicaid or the State Children’s Health Insurance Program (SCHIP). Two other states have applied for waivers. This updated State Health Policy Monitor examines the status of these waivers, and provides a brief overview of eligibility guidelines and benefits.  Additional NASHP publications examine specific waiver design features, and explore topics such as cost savings and the impact on health outcomes.
    Sara Sills
    Brett Johnson
    November 2008
  • Health Outcomes and Lower Costs Associated with Medicaid Family Planning Waivers

    This State Health Policy Briefing is the fourth in a series that examines the status of Medicaid family planning waivers, and provides an overview of the health outcomes associated with expanding family planning coverage. Twenty-six states have Medicaid §1115 family planning waivers to help promote reproductive health, help women avoid unintended pregnancies, and improve infant and maternal health outcomes. Family planning waivers – which allow states to provide services to individuals who are not otherwise eligible for coverage under Medicaid or the State Children’s Health Insurance Program (SCHIP) – have proven to be successful in reducing the social and economic costs associated with unintended pregnancies.
    Dan Belnap
    January 2008
  • Medicaid Family Planning Demonstrations: Design Issues and Resources for States

    Since the mid-1990s, 26 states have implemented Medicaid Section 1115 family planning demonstration waivers to help low-income women avoid unintended pregnancy and improve child and maternal health outcomes. These waivers have saved states millions of dollars. The waiver programs, which require approval from the Centers for Medicare and Medicaid Services (CMS), provide access to family planning services for individuals not otherwise eligible for Medicaid or the State Children’s Health Insurance Program (SCHIP). This State Health Policy Briefing is the third is a NASHP series examining Medicaid family planning demonstration waivers. It explores some of the design choices states face when applying for and implementing a waiver – choices about whom the program should cover, how it should cover them, and how states can ensure that clients receive the services they need.
    Sara R. Sills
    December 2007
  • Cost-Effectiveness of Medicaid Family Planning Demonstrations

    Following the lead of two pioneering states – Rhode Island and South Carolina – that sought to expand access to family planning services for women of childbearing age, 26 states now operate Medicaid family planning waiver programs. The programs help women avoid unintended pregnancy, improve maternal and child health, and save states millions of dollars. This State Health Policy Briefing, the second in a series examining these programs, explores the evidence of their cost-effectiveness.
    Sara R. Sills
    September 2007