23 MAC Pt. 221, R. 1.4
Covered Services
Cite as 23 Miss. Admin. Code Pt. 221, R. 1.4
Covered Services
A. Family planning and family planning related services are available for eligible beneficiaries
who voluntarily choose to:
1. Prevent pregnancy,
2. Plan the number of pregnancies, or
3. Plan the spacing between pregnancies.
B. Family planning and family planning related services include, but are not limited to:
1. Contraceptive injections purchased by the provider and administered in the provider’s
office,
2. Prescription contraceptives dispensed through the pharmacy program,
3. Insertion, removal, and removal with reinsertion of a contraceptive intrauterine device,
4. Insertion, removal, and removal with reinsertion of a contraceptive implant,
5. Diaphragm or cervical cap fitting with instructions,
6. Vaginal rings,
7. Voluntary vasectomy and tubal ligation procedures, including tubal sterilization by
hysteroscopy if the criteria in Miss. Admin. Code Part 202, Rule 5.3. is met, and
8. Laboratory procedures, including, but not limited to:
a) Papanicolaou (Pap) smears, and
b) Screenings for sexually transmitted infections (STIs)/sexually transmitted diseases
(STDs).
C. Counseling and education are considered part of the family planning visit and cannot be
billed separately.