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3.3 Services, Benefits, Limitations, and Prior Authorization
This section includes information on family planning services funded through WHP. WHP benefits are limited Title XIX benefits including:
• Family planning annual exams
•Other family planning office or outpatient visits
•Laboratory procedures
•Radiology services
•Contraceptive devices and related procedures
•Drugs and supplies
•Medical counseling and education
•Sterilization and sterilization-related procedures (i.e., tubal ligation and anesthesia for sterilization)
For WHP family planning claims to process correctly, providers must use one of the following diagnosis codes in conjunction with all WHP family planning procedures and services:
The choice of diagnosis code must be based on the type of family planning service performed.
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