Participation requirements for out-of-state family planning clinics. available. Services are provided through a grant with a private, nonprofit agency, Real Alternatives, which, in turn, has subgrants to provide the services throughout the state. No part of the information on this site may be reproduced forprofit or sold for profit. Pregnancy, childbirth, and parenting classes. Providers determined to have billed for services inconsistent with MA Program regulations, to have provided services outside the scope of customary standards of medical practice or to have otherwise violated the standards set forth in the provider agreement, are subject to the sanctions described in Chapter 1101 (relating to general provisions). Payment will not be made to a family planning clinic for the following services regardless of where or to whom they are provided: (1)Services and procedures that are available through other public agencies, private insurance plans, and State or Federal Programs, except Titles V, X, XX, and the Indochinese Refugee Assistance Act. You may talk with someone who has been in your situation, has helped others through it, and can get you the help that you need. 134 0 obj <>stream In addition to the participation requirements established in Chapter 1101 (relating to general provisions) and the applicable participation requirements listed in 1225.42, 1225.43 and 1225.45 (relating additional requirements for hospital outpatient family planning clinics; additional requirements for independent family planning clinics; and ongoing responsibilities of providers) hospital outpatient family planning clinics and independent family planning clinics shall meet the following participation requirements: (1)Have a patient referral system that ensures followup treatment by other physicians or appropriate specialists. Preconception health services promotes the health of women before they conceive. With your My COMPASS Account, you can: Upload documentation for your application or case, View your benefit information, such as benefit amount and renewal date, Report changes to your case, such as a change in income or address, Manage other aspects of your benefits online, Family Planning counseling and coordination of care, Limited pharmacy services including birth control supplies and medication, and supplies to treat sexually transmitted disease (STDs) and vaginal infection, Limited laboratory services including testing for STDs, cervical cancer, HIV, anemia and sickle cell disease. The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 52 Pa.B. For more information, please visit https://www.opa.hhs.gov. care regardless of insurance status or income. While some infections cause painful symptoms, others show no early signs. See Section 311.131, Confidentiality and Third Party Liability. This is the easiest, fastest, and preferred way to apply for family planning servicesod. 121 0 obj <>/Filter/FlateDecode/ID[<2B45854145390D488E63706036661371><59A87F0341F8884AB6DB76871C9EBD8A>]/Index[105 30]/Info 104 0 R/Length 81/Prev 41117/Root 106 0 R/Size 135/Type/XRef/W[1 2 1]>>stream Links to various Aetna Better Health and non-Aetna Better Health sites are provided for your convenience. 4607; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. Family planning servicesFamily planning services are the professional services provided by your PCP or OB-GYN related to family planning. To pick a network doctor or clinic, call Member Services or visit the provider search. their families lead healthier lives. 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. The applicant checked the YES box relating to physical or emotional harm. The applicant is requesting confidentiality and the applicant is eligible for SelectPlan even if there is creditable health insurance. Since 1971, Adagio Health has helped women and men decide for themselves the number, timing, and spacing of their children. How soon? AccessMatters comprehensivenetworkofhealth centers includes specialty to primary care clinics providing sexual and reproductive health services. Free, caring, and confidential alternatives to abortion services are available to help you through your pregnancy and beyond. 4607. You don't need a referral. 4607; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. See example Section 311.8. No statutes or acts will be found at this website. NOTE: A college student who is under 21, attends college in Pennsylvania and whose parents reside in another state may not claim Pennsylvania residency unless she is emancipated and a resident of Pennsylvania. community awareness on a variety of topics, including women's healthcare, A physical examination and lab We provide Community Partners are community-based agencies, organizations, coalitions, hospitals, church groups, sponsors of the National School Lunch Program (NSLP) and other groups that wish to help Pennsylvanians submit applications for health and human services. Scope of benefits for General Assistance recipients. We are here to help you. What Health and Human Services should I apply for? vaccinations, breast/cervical screenings and early pregnancy care and What if I have all the children I want? we are a trusted provider of gynecological care, STD testing, preventative 0 Payment for family planning clinic services is subject to this chapter and Chapters 1101 and 1150 (relating to general provisions; and MA Program payment policies) and the MA Program fee schedule. Additional requirements for hospital outpatient family planning clinics. Be a United States citizen or have satisfactory immigration status for Medical Assistance (MA). Adagio Health and our partners provide comprehensive reproductive healthcare to over 100,000 women and their families across 23 counties in Western Pennsylvania. Immediately preceding text appears at serial pages (117486) to (117487). The provisions of this 1225.81 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. 4418. Many women of all ages are faced with the news that they are pregnant at a time when they did not plan to be. When the applicant does not provide her out-of-state birth certificate within 10 days of submitting her application, the CAO or CU will send a letter to the applicant on how to receive a copy of an out-of-state birth certificate (see Appendix B). NOTE: An alternate mailing address must be provided if the applicant responded YES to this question on the COMPASS application. given to assist in learning about resources available for further medical care. Immediately preceding text appears at serial pages (117483) to (117484). Not a substitute for professional health care or adviceThe health information contained in this website is general in nature and is not a substitute for professional health care. (2)Be certified as a family planning clinic by the Office of Social Programs, Family Planning Division. depending upon your age, family income, and family size. If this happens to you or someone you know, there is no need to panic. The County Assistance Office (CAO) or Central Unit (CU) will review the SelectPlan application for creditable health insurance to see if: The applicant checked she has health insurance covering both family planning services and prescriptions, including contraceptives. If so, she is not eligible for SelectPlan. Family planning providers in the Adagio Health network offer pregnancy testing and counseling services. Planned Parenthood is Americas most trusted provider of reproductive health care. Basic infertility care is a core family planning service. It is critical, if you are or have been sexually active, to get tested at your nearest Adagio Health location to protect your health and the health of those you love. The provisions of this 1225.44 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. parents who need help in teaching their children about sexuality is also (2)Procedures not listed in the MA Program fee schedule or the fee schedule promulgated by the Family Planning Division of the Department. SelectPlan for Women provides family planning services to women age 18 through 44 years old. tests are done to help the medical practitioner determine the safest method 4418. 4418. 4418. Immediately preceding text appears at serial page (117483). The HealthyWoman Project can offer pelvic exams, pap smears, clinical Education and testing can be done onsite), Free HIV screening and pre/post counseling. Immediately preceding text appears at serial page (117482). Family planning providers offer preconception health services in accordance with CDCs recommendations to improve preconception health. The Family Planning Services program inPennsylvania provides services, information, and counseling related to family planning. 2550 (April 23, 2022). A typical family planning office visitfor men may include testing and treatment for STDsand condoms for prevention, HIV testing and prevention education, testicular exams and education about testicular cancer, and information onsafe and effective contraception for you and your partner. and treatment if you have an infection or disease. The provisions of this 1225.42 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. The Alternative to Abortion Services Program provides help to women experiencing a crisis pregnancy at the time when a decision about the outcome of the pregnancy is being made. They're not good for you and they're not good for your baby. HealthChoices, Pennsylvania's Medical Assistance program, provides you and your family with many health care options. Our staff is available to explain permanent methods of birth control to 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. Narrate the need for confidentiality in the case record. Updated February 14, 2012, Replacing September 29, 2010. Who can come to Family Planning? If you have other questions or need additional information, please visit the contact page for all up-to-date details. What if I'm worried about infection or venereal disease? Are U.S. citizens or have a satisfactory immigration status and identification. 4607; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. Physician assistantAn individual currently certified by the State Board of Medicine or the State Board of Osteopathic Medicine as a physician assistant within the scope of the Medical Practice Act of 1974 (63 P. S. 421.1421.18) (Repealed) or the Osteopathic Medical Practice Act (63 P. S. 271.1271.18). The provisions of this 1225.1 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. SelectPlan is a Fee-for-Service program. Do you offer other services for women? For information on where to locate family planning services in Southeastern Pennsylvania, call the AccessMatters Hotline at 215-985-3300. If you are trying to become pregnant, our clinical providers can counsel you about things to avoid when trying to get pregnant and maximizing fertility. 747 Terrace Street, Meadville, PA 16335; phone: (814) 333-7088 Do you want to have a child/have more children? sexually. The provisions of this 1225.22 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. for you and your partner. The provisions of this 1225.54 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. for themselves the number, timing and spacing of their children. How will I know if I am eligible for SelectPlan for Women? (See Section 309.4 MA Service Delivery). (ii)A physician shall be immediately available through direct communication or by radio, telephone or telecommunications. Ways to continue your education (if you are in school), References to other supportive agencies for medical care, including food, financial help, and any other support you need to care for your baby, Help with maternity and baby clothing, food, and furniture whatever you need to keep you and your baby healthy. Additional requirements for independent family planning clinics. Aetna BetterHealth is not responsible or liable for non-Aetna Better Health content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Have countable household income equal to or less than 185% of the Federal Poverty Income Guidelines (FPIGs). Whatever the reason, help is available. Meadville Medical Center 2017 All Rights Reserved. 4607. A hallmark of the AccessMatters service delivery model is to support integration of complimentary services such as HIV prevention, teen focused programs, health coverage enrollment assistance, maternal health, and pediatrics. On the PA 600SP a mailing address different than the home address would be listed indicating a need for confidentiality. Who is eligible for SelectPlan for Women? General Assistance recipients, age 21 to 65, whose MA benefits are funded solely by State funds, are eligible for medically necessary basic health care benefits as defined in Chapter 1101 (relating to general provisions). The provisions of this 1225.21 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. Pennsylvanians deserve acc, The 988 Suicide & Crisis Lifeline, can be more easily reached by calling or texting 988, or chatting on, Interested in keeping up to date with AccessMatters efforts to protect, enhance, and advance sexual and. If a physician does not provide services directly, then: (i)The services shall be provided by a certified registered nurse practitioner, a physician assistant or a registered nurse, as appropriate, on the basis of a predetermined plan of diagnosis and treatment that has been approved by a physician. The provisions of this 1225.2 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. Locations: 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. All Rights Reserved. You can access these services by going to any network family planning doctor or clinic. Take a look at our list of birth control methods. The paper application should be mailed to your County Assistance Office (CAOs) which you can find by clicking the link. These services are available to all women. The Pennsylvania Code website reflects the Pennsylvania Code hbbd``b`$s $W B 4607; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. If you have a question during non-business hours or prefer to use email. CRNPCertified registered nurse practitionerAn individual currently certified by the State Board of Medicine and the State Board of Nursing as a CRNP within the scope of the Medical Practice Act of 1974 (63 P. S. 421.1421.18) (Repealed). (2)Not limit the number of patients served by virtue of the payment source. you and your partner. Accessible, patient-centered %%EOF 3932; amended September 30, 1988, effective October 1, 1988, 18 Pa.B. Please contact the school your child attends. 4607. 4607. Back to Planned Parenthood of Western Pennsylvania, Planned Parenthood of Western Pennsylvania, have an income at or below 215% of the Federal Poverty Limit, are a resident of Pennsylvania (proof of residency required), are a U.S. citizen or if not a U.S. citizen, have been a permanent resident for at least 5 years, do not have health insurance or are underinsured, a currentPennsylvania photo ID or other proof of PA residency such as a lease or utility bill, your social security number (you do not need to bring the original card), current proof of income (30 days worth of paystubs, usually 2 to 3 paystubs), proof of citizenship or residency card (for citizens, a birth certificate or US passport; non-citizens must have been a permanent resident for at least 5 years). The services are available to anyone regardless of age, sex, race, marital AccessMatters family planning program also supports the provision of services to youth who receive services through AccessMatters Health Resource Center program. Remember to eat your fruits, vegetables, grains and dairy products. In addition to the participation requirements listed in 1225.41 (relating to general participation requirements) independent family planning clinics shall meet the following participation requirements: (1)Provide services either directly by a physician or under the supervision of a physician. Health and Human Services (HHS), the Commonwealth of Pennsylvania, and Office Hours: Monday thru Friday 8:00 am - 4:30 pm If you need more time, please click "Continue" below or close this window. All SelectPlan women are reviewed for possible third party insurance coverage. Payment is made for services provided by or under the supervision of a physician in a hospital outpatient family planning clinic, or independent family planning clinic, subject to the conditions and limitations set forth in this chapter and Chapters 1101 and 1150 (relating to general provisions; and MA Program payment policies) and the MA Program fee schedule. The CAO or CU will review the application that was submitted by the woman to determine if the woman had requested confidentiality when receiving family planning services. The woman must cooperate with the CAO or CU in obtaining the necessary documentation for proof of citizenship and identity. Patients are charged for the services at the time of their visit using This is usually performed with a urine pregnancy test but sometimes a quantitative serum pregnancy test (blood draw) may be ordered. family planning services are central to our mission of helping women and AccessMatters Hotline refers over 3,000 callers tohealth centers and other serviceseach year. Claims submitted for payment under the MA Program are subject to the utilization review procedures established in Chapter 1101 (relating to general provisions). 5995. if you are legallymarried, please be sure to have spouses SSN and current proof of income. colleges. The following services are not available to be applied for on COMPASS, but you can submit a referral to express your interest in the service. PA 1115 Demonstration Extension Application, Office visits to your family planning health care provider for evaluation, follow up, and referral to other health care providers as necessary, Counseling from your health care provider regarding pregnancy to prepare for pregnancy, to prevent unintended pregnancies, and to enable individuals to control the timing and spacing of pregnancies, Initiation and management of contraception, including male and female sterilization, Prevention of sexually transmitted diseases (STDs) with vaccine and condoms, Treatment of STDs through medications and/or procedures, Laboratory services for the screening of STDs, HIV (the virus that causes AIDS), anemia, sickle cell disease and pregnancy, Screening and education regarding breast, reproductive and testicular cancer. NOTE: A woman receiving SelectPlan is not enrolled in the mandatory HealthChoices program or Managed Care Health Plans. contraception, and services of Family Planning. Please note that you will also need to bring: If you want to complete the application on your own prior to visiting, you can also apply to the Family Planning Services program by completing a full online application on COMPASS, the website for Pennsylvanians to apply for health and human services programs, or by completing a paper application called Application for Health Care Coverage. many diseases or infections that can be passed from one person to another There are also funding sources available if additional testing Keystone State. Help finding temporary shelter (if you don't have a place to live) a safe place where you can live before and even after your baby is born. The contents are those of the author (s) and do not necessarily represent the official views of, nor an endorsement, by OPA/OASH/HHS, or the U.S. Government. 4607; amended December 23, 1983, effective January 1, 1983, 13 Pa.B. Not be receiving MA under another category that includes family planning services or not be eligible for full MA if applying for both SelectPlan and MA. You can apply for the Family Planning Services program by: COMPASS is the online application for Pennsylvanians to apply for many health and human services programs, including the Family Planning Services program. When? The Family Planning staff will provide information, examination, Indicated the need for confidentiality in the Additional Information section of the application. AccessMatters has a proud history of providing comprehensive family planning and related preventive health services to individuals, families, and communities through our network of partner organizations. Family Planning Services include: This page contains information about the services we provide, and answers Scope of benefits for the medically needy. Adagio Health. Start healthy habitsA balanced diet is always good for you. Food and clothing pantries and housing assistance are additional services that are provided. Checked YES after the physical or emotional harm statement under Health Insurance on the application. How effective is the method? About the Program:Close to 100centers across Pennsylvania are checked annually to ensure they follow the Department of Human Services' standards, and staffed with caring professionals and trained counselors. This means that one or more physicians shall be on staff to either provide directly or supervise the provision of service. If you have specific health care needs, or for complete health information, please see a doctor or other health care provider. The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise: How do I make an appointment? b-{ n2H2\~ Ydk ,t ( If you have questions about what is covered, please check with your provider. have a vasectomy (male), or to have your tubes tied (female). Scope of benefits for the categorically needy. Please visit the CHIP website at www.chipcoverspakids.com and click on "FAQ" at the top right corner to find answers to most questions. Copyright Adagio Health 2019 | Web design by. PA Family Planning Waiver 12/29/05. Testing for non-infectious conditions, such as cervical cancer. health services to our patients. a sliding fee scale. Appointments may be scheduled during office hours, which are 8:00 a.m. Will it decrease your chances of becoming pregnant. Home and Community Based Services provide services beyond those covered by Medical Assistance that enable an individual to remain in a community setting. The applicant checked she only has family planning services or prescriptions or didnt check any type of health insurance coverage. %PDF-1.5 % AccessMatters network health centers have flexible hours, including nights and weekends, and are accessible via public transportation. SelectPlan will cover family planning services, tests and supplies related to birth control, pregnancy prevention and preventive services. "Sexually transmitted disease" (STD) is a term that includes This program provides such social and educational services as training/counseling regarding childbirth, parenting, and chastity. The CAO or CU is to narrate in the case record that the woman has requested confidentiality. For information: 814-333-7088. 4418. The paper application is called "Application for Health Care Coverage." 105 0 obj <> endobj The provisions of this 1225.51 adopted December 5, 1980, effective December 1, 1980, 10 Pa.B. Our doors are open. to 4:30 p.m. daily by calling (814) 333-7088. After you complete the application, you will need to mail it to your local CAO.
Brightroom Fridge And Pantry Bins, Reflective Paint For Metal, What Is Gas Well Pressure Transient Testing, Rockshox Deluxe Ultimate Pressure Chart, Domestic Water Chiller System, Minas Gerais Coffee Beans, Pa-e Reverse Osmosis Replacement Filters, Small Corner Sink Kitchen, Bose Over Ear Headphones Replacement Pads, Thin Necklace Chain Gold,