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20.5.2.2 Billing HMOs for Out-of-Network Family Planning Services
Medicaid Managed Care, including STAR+PLUS HMOs, are responsible for reimbursing providers for family planning benefits. A family planning provider does not have to contract with the client's HMO to be reimbursed for family planning services. Title XIX family planning providers should contact the client's health plan for billing instructions.
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