Non-Covered Services and Items

Non-Covered Services and Items Services and items not considered Family Planning Waiver (FPW) services and not reimbursable under the waiver program include, but are not limited to, the following: A. Facilitating services including, but not limited to, transportation, parking, and child care while FPW services are being obtained, B. Indirect services, including, but not limited to, telephone contacts/consultations, C. Drugs used to promote fertility, D. Over-the-counter emergency contraceptives and related services, E. Over-the-counter drugs and supplies including, but not limited to, pregnancy tests, spermicides, and condoms. F. Infertility studies and procedures to enhance fertility including, but not limited to, reversal of sterilization, artificial or intrauterine insemination or in-vitro fertilization, G. Abortions and related services, H. Hysterectomy and related services for sterilization purposes, I. Menopausal or post-menopausal treatment and related services, J. Removal of an implanted device for a non-FPW eligible individual, K. Natural family planning services, L. Cancer screening services, except for Pap smears, M. Mammograms, N. Services to a participant whose age or physical condition precludes reproduction, O. Services to a participant known to be pregnant, P. Reversal of voluntary sterilization, Q. Services outside the scope and/or authority of the provider’s specialty and/or area of practice, R. Inpatient hospital visit, S. All services provided for the treatment of a medical condition not considered family planning or family planning related, T. Services for participants who have received a sterilization procedure and have completed all necessary follow-up procedures, and U. Prescriptions other than contraceptives and medications to treat STI/STD, vaginal infections or disorders, other lower genital tract and genital skin infections or disorders, and urinary tract infections.