Medicaid Coverage Reinstated for Non-Abortion Services at Planned Parenthood Clinics
Federal restrictions preventing Medicaid reimbursement for non-abortion services at Planned Parenthood have ended, restoring coverage for routine healthcare provided at these clinics. States now have discretion to determine whether Medicaid enrollees can access covered services at Planned Parenthood locations that remain operational. The change takes effect immediately, reversing a previous ban that prohibited Medicaid payment for any services delivered by Planned Parenthood providers, including primary care, family planning, STI testing, and cancer screenings. Medicaid managed care organizations must now determine network participation and reimbursement policies for these providers according to state guidance.
MCOs must update provider networks, claims systems, and member communications to reflect reinstated coverage of qualified services at Planned Parenthood clinics, subject to state-specific participation rules.
Managed Care · Maternal
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