The medicaid agency covers all of the following services:
(1) One comprehensive preventive family planning visit once every 12 months, based on nationally recognized clinical guidelines. This visit must have a primary focus and diagnosis of family planning and include counseling, education, risk reduction, and initiation or management of contraceptive methods;
(2) Assessment and management of family planning or contraceptive problems, when clinically appropriate. For purposes of this section, "clinically appropriate" means the type, frequency, extent, site, and duration of medical services must reasonably correlate to the client's needs;
(3) Family planning-related services and supplies;
(4) Contraception, including:
(a) Food and Drug Administration (FDA)-approved contraceptive methods, as described under WAC 182-530-2000 (1)(b);
(b) Education and supplies for Federal Drug Administration (FDA)-approved contraceptive, natural family planning, and abstinence; and
(c) Sterilization procedures, as described under WAC 182-531-1550;
(5) The following services, when clinically appropriate or according to nationally recognized guidelines:
(a) Pregnancy testing;
(b) Cervical cancer screening;
(c) Gonorrhea and chlamydia screening and treatment;
(d) Syphilis screening and treatment;
(e) Sexually transmitted infection (STI) screening, testing, and treatment, when medically indicated by symptoms or report of exposure, and medically necessary for the client's safe and effective use of their chosen contraceptive method;
(f) HIV testing, including rapid tests; and
(g) Viral hepatitis B and C testing;
(6) Hepatitis B and hepatitis A/B combination vaccines; and
(7) Human papillomavirus (HPV) vaccines.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 25-23-034, s 182-532-530, filed 11/13/25, effective 1/1/26; WSR 22-02-025, § 182-532-530, filed 12/28/21, effective 2/1/22. Statutory Authority: RCW 41.05.021, 41.05.160 and section 1115(a) of the Social Security Act. WSR 19-18-024, § 182-532-530, filed 8/28/19, effective 10/1/19. Statutory Authority: RCW 41.05.021, 74.09.520, 74.09.657, 74.09.659, and 74.09.800. WSR 13-16-008, § 182-532-530, filed 7/25/13, effective 9/1/13. WSR 11-14-075, recodified as § 182-532-530, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090 and 74.09.800. WSR 08-11-031, § 388-532-530, filed 5/13/08, effective 6/13/08. Statutory Authority: RCW 74.08.090, 74.09.520, and 74.09.800. WSR 05-24-032, § 388-532-530, filed 11/30/05, effective 12/31/05; WSR 04-05-011, § 388-532-530, filed 2/6/04, effective 3/8/04.]