Medicaid, the state and federal well being protection program for low-income folks, funds household planning companies for thousands and thousands of girls throughout the nation. Nationwide statistics, nevertheless, can masks essential state-level Medicaid coverage and utilization variations. Two new KFF state-level analyses have simply been posted that present up-to-date protection insurance policies and practices in addition to new information on contraceptive provision below Medicaid.
Medicaid Protection of Household Planning Advantages: Findings from a 2021 State Survey
Primarily based on findings from a nationwide survey of states on Medicaid household planning protection insurance policies for adults, this new report finds that whereas all states cowl a broad vary of contraceptive strategies, many impose limitations like prior authorization or amount limits. These are used to assist states management spending however can have an effect on beneficiaries’ capability to acquire their most popular methodology in a well timed method. When it comes to different household planning companies, whereas most states reported overlaying sexually transmitted an infection (STI) testing and remedy, some require prior authorization for Pre-Publicity Prophylaxis (PrEP) to stop HIV acquisition. Regardless of the expansion in STI charges in lots of states, few reported overlaying Expedited Associate Remedy (EPT) which is endorsed by the Facilities for Illness Management and Prevention (CDC) as an efficient methodology to regulate the transmission of STIs.
Household Planning and Contraceptive Provision Amongst Females Enrolled in Medicaid
In response to a brand new evaluation utilizing nationwide Medicaid claims information, one in 4 feminine Medicaid enrollees of reproductive age was supplied a minimum of one contraceptive service in 2018. This vary, nevertheless, different significantly by state, from a low of 18% in Arkansas and Arizona to a excessive of 34% in Wisconsin. The commonest methodology supplied to enrollees was oral contraception, adopted by injectable contraception (DMPA), then IUDs. The brand new evaluation additionally highlights notable regional and age variations by kind of methodology. Ladies within the South had the bottom provision of oral contraceptives and the best annual sterilization charges. Not surprisingly, a better share of girls ages 30-49 relied on sterilization and IUDs in comparison with youthful girls ages 15-29 who tended to depend on different hormonal strategies.
For extra info and information on Medicaid protection for girls, see our new information be aware that includes new evaluation and information on Medicaid throughout the lifespan.