Medicaid Policies
- Offer providers a dispensing fee add-on when dispensing highly-effective contraceptives (IL to 340B providers)
- Provide reimbursement for evaluation/management (E/M) visits, where a practitioner and beneficiary discuss contraceptive options, in addition to same day LARC insertion or removal procedures (IL)
- Increased LARC reimbursement rate to cover slightly more than the practitioner’s cost to purchase LARC devices to stock in their office (SC)
- In the outpatient setting, practitioners may order a LARC device for delivery to the practitioner’s office by a specialty pharmacy. (SC)
- Allow providers the option to prescribe and obtain a limited number of LARC products from specialty pharmacies and to return unused and unopened LARC products through a “abandoned unit return” program. (TX)
- Set reimbursement to share savings from 340B purchased LARCs