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North Carolina Department of Health and Human Services North Carolina Medicaid Division of Health Benefits AGED, BLIND AND DISBALED MEDICAID MANUAL MA-2170 FAMILY PLANNING PROGRAM 1 REVISED 11/3/2021 – CHANGE NO. 10-21 I. Introduction The Medicaid Family Planning Program (FPP) establishes a system by which individuals, regardless of age, gender, or disability status, more easily access family planning and family planning related services to prevent/reduce unplanned pregnancies. FPP also includes Non-Emergency Medical Transportation (NEMT) for FPP services only.

A. Eligibility Requirements

1. No age restrictions

2. Not Pregnant

3. Have income at or below 195% of the FPL 4. Meet all financial and non-financial eligibility requirements

B. Determine Eligibility

Determine Family Planning Program (FPP) eligibility when all verifications necessary to determine FPP have been received and authorize if otherwise eligible the first day of the application month.

Do NOT delay processing the FPP application while pending verifications for other Non-MAGI applications. This includes but is not limited to:

1. Pending disability determination, 2. Pending medical bills to meet a deductible or 3. Reserve reduction/verification for applicable programs.

Apply MAGI budgeting methodologies to individuals in the Family Planning Program.

C. Certification Period

The certification period is 12 months for an ongoing case. The certification period can be adjusted to match the family’s other Medicaid cases.

D. Retroactive Eligibility