PUP 4931r Lecture Notes - Lecture 73: Intrauterine Device

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Services
States Routinely Cover Births, but Related Services are varied (childbirth
education, breastfeeding, etc.)
States Routinely Cover Most Contraceptives, but More Variation for Other Family
Planning Services (IUD, STI testing, etc.)
Demonstration Project Waivers, 1115
55 as of 2013
14 were large demonstration projects
Such as Florida’s Statewide Mediaid Maaged Care
14 Health Insurance Flexibility and Accountability (HIFA) waivers
Intended to increase copays and make Medicaid patients more responsible
for their care
Remainder mostly small, targeted
Family planning, small or targeted
Medicaid Grants States Substantial Flexibility in Services Detailed in State
Plans****
Amount, Duration, Scope of Services
Can limit to <minimum needed to achieve purpose
Except EPSDT: a’t liit
Coparaility: a’t e liited for dx or category
Cutbacks
Number of visits, length of stay, services
Reforms highlight access/cost conflict
Add co-pays
Medicaid is Primary Payer for LTC
https://www.kff.org/infographic/medicaids-role-in-nursing-home-care/
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