This state plan amendment implements an alternative payment methodology (APM) for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) for a supplemental payment at the Medical Assistance (MA) program fee schedule rate for a Long-Acting Reversible Contraceptive (LARC) device and its insertion, or the removal of a LARC device, in addition to payment for an encounter.

This state plan amendment provides 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

This executive order is a shield law that prohibits executive agencies from providing any information or using any resources in furtherance of any out-of-state investigation or proceeding seeking to impose civil or criminal liability or professional discipline on a person for providing, securing, receiving, inquiring about, or assisting in reproductive health care services legal in Pennsylvania. It directs state agencies to ensure that all boards of licensure are taking care not to impose license consequences for providing reproductive healthcare, as well as developing new strategies to communicate to consumers the availability and affordability of reproductive health care. It also states that the Governor will decline another state’s extradition, arrest, or surrender requests of a person charged with a criminal violation involving the provision, receipt, or assistance with reproductive health care services lawful in Pennsylvania.

This state plan amendment authorizes the provision of family planning and family planning-related services, pharmaceuticals and supplies to men and women of any age, who are not otherwise eligible for Medical Assistance and who are not pregnant and have income at or below 215 percent of the Federal Poverty Limit.

This state plan amendment pertains to “Individuals Eligible for Family Planning Services”. The State elects to cover individuals who are not pregnant, and have household income at or below a standard established by the State, whose coverage is limited to family planning and related services and in accordance with provisions described at 42 CFR 435.214.