Family Planning Eligibility and Billing. Travis Duke. Goals. Understand changes to Title V, X, and XX eligibility guidelines Understand changes to Title V, X and XX billing policy Discuss Title V, X and XX payment for “wrap around” services provided to WHP clients.
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Females (of childbearing age) and males, who have not had sterilization surgery or other condition resulting sterilization and who are seeking family planning services.
The budget group consists of the applicant, his/her spouse, and all mutual and non-mutual children. If an unmarried applicant lives with a partner, ONLY count the partner’s income and children as part of the budget group IF the applicant and his/her partner have mutual children together. Treat applicants who are 18 years of age as adults. No children aged 19 and older or other adults living in the household should be counted as part of the budget group.
Contractors must continue to file claims and encounters even if they have exhausted their budget
Rate prior to 4-1-07 = $321.13
Rate after 4-1-07 = $387.60
Rate prior to 4-1-07 = $426.97
Rate after 4-1-07 = $487.76