Family Planning Services: Participant Eligibility

01. Sterilization Procedures. Sterilization procedures are only a covered service when they meet the requirements in 42 CFR 441.253, 42 CFR 441.257, and 42 CFR 441.258. (7-1-26) 02. Hysterectomies. Payment can be made for a hysterectomy only if: (7-1-26) a. The participant was advised orally and in writing that sterility would result in the inability to bear children; and (7-1-26) b. The participant signs and dates a form that meets the requirements of the Idaho Medicaid Provider Handbook. (7-1-26) c. Claims require supporting documentation attached to the claim. (7-1-26)