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Louisiana Medicaid Eligibility Manual

Eligibility Determinations

Issued July 20, 2020

Page 1 of H-3400 Replacing June 14, 2016

Deleted text indicated by “**” Revised/added text indicated by underscore

H-3400 TAKE CHARGE PLUS

H-3410 GENERAL INFORMATION

Section 2303 of the Affordable Care Act of 2010 established a new optional Medicaid eligibility group called Take Charge Plus (TCP). On July 1, 2014, Louisiana began offering services to this new eligibility group, with coverage limited to the following family planning-related services:  Family planning education and counseling;  Laboratory tests for family planning;  Medications and supplies, such as: birth control pills, condoms, implants or patches, injections and intrauterine devices (IUDs) **;  Voluntary sterilization procedures, such as tubal ligation or vasectomy;  Seven (7) visits to any approved medical professional in a calendar year. This includes four (4) yearly physical examinations and revisits. Monthly birth control medications are not counted as a visit unless seen by a medical professional;  Drugs for the treatment of sexually transmitted infections/sexually transmitted diseases (STIs/STDs);  Drugs for the treatment of certain lower genital tract and genital skin infections as it relates to family planning;  Vaccine to prevent human papillomavirus (HPV), the virus that causes cervical cancer;  Treatment of major complications resulting from certain family planning procedures;  Non-emergency medical transportation (NEMT); and  Yearly physical examinations and revisits (up to four (4) covered service visits in a calendar year by an approved medical professional). Eligibility requirements:  Women or men of any age; and  Family income at or below 138 percent of the Federal Poverty Level (FPL); and