Family Planning Under Medicaid - Kaiser State Health Facts

	State Has Secured a Waiver from CMS to Cover Services	Basis for Eligibility	Eligible Population Includes Men	Limited to Individuals 19 years +	Waiver Expiration Date

United States	27 Yes	NA	8 Yes	11 Yes	NA

Alabama	Yes	Based solely on income criteria of 133% FPL.	No	Yes	9/30/2011
Alaska	No	NA	NA	NA	NA
Arizona	Yes	For women losing Medicaid postpartum; 2-year limit.	No	No	10/25/2009
Arkansas	Yes	Based solely on income criteria of 200% FPL.	No	No	1/31/2012
California	Yes	Based solely on income criteria of 200% FPL.	Yes	No	12/31/2009
Colorado	No	NA	NA	NA	NA
Connecticut	No	NA	NA	NA	NA
Delaware	Yes	For women losing Medicaid for any reason; 2-year limit.	No	No	12/21/2009
District of Columbia	No	NA	NA	NA	NA
Florida	Yes	For women losing Medicaid for any reason; 2-year limit.	No	No	11/30/2009
Georgia	No	NA	NA	NA	NA
Hawaii	No	NA	NA	NA	NA
Idaho	No	NA	NA	NA	NA
Illinois	Yes1	Based solely on income criteria of 200% FPL.	No	Yes	11/30/2009
Indiana	No	NA	NA	NA	NA
Iowa	Yes1	Based solely on income criteria of 200% FPL.	No	No	1/31/2011
Kansas	No	NA	NA	NA	NA
Kentucky	No	NA	NA	NA	NA
Louisiana	Yes	Based solely on income criteria of 200% FPL.	No	Yes	7/1/2011
Maine	No	NA	NA	NA	NA
Maryland	Yes	For women losing Medicaid postpartum; 5-year limit.	No	No	6/30/2011
Massachusetts	No	NA	NA	NA	NA
Michigan	Yes	Based solely on income criteria of 185% FPL.	No	Yes	3/1/2011
Minnesota	Yes	Based solely on income criteria of 200% FPL.	Yes	No	6/30/2011
Mississippi	Yes	Based solely on income criteria of 185%.	No	No	9/30/2011
Missouri	Yes	Based solely on income criteria of 185%.	No	Yes	9/30/2010
Montana	No	NA	NA	NA	NA
Nebraska	No	NA	NA	NA	NA
Nevada	No	NA	NA	NA	NA
New Hampshire	No	NA	NA	NA	NA
New Jersey	No	NA	NA	NA	NA
New Mexico	Yes	Based solely on income criteria of 185% FPL.	No	Yes2	11/30/2009
New York	Yes1	Based solely on income criteria of 200% FPL.	Yes	No	9/30/2011
North Carolina	Yes	Based solely on income criteria of 185% FPL.	Yes	Yes	9/30/2010
North Dakota	No	NA	NA	NA	NA
Ohio	No	NA	NA	NA	NA
Oklahoma	Yes	Based solely on income criteria of 185% FPL.	Yes	Yes	3/31/2010
Oregon	Yes	Based solely on income criteria of 185% FPL.	Yes	No	1/29/2010
Pennsylvania	Yes	Based solely on income criteria of 185% FPL.	No	Yes3	6/1/2012
Rhode Island	Yes	For women losing Medicaid postpartum; 2-year limit.	No	No	9/30/2011
South Carolina	Yes	Based solely on income criteria of 185% FPL.	No	No	12/31/2010
South Dakota	No	NA	NA	NA	NA
Tennessee	No	NA	NA	NA	NA
Texas	Yes	Based solely on income criteria of 185% FPL.	No	Yes3	12/31/2011
Utah	No	NA	NA	NA	NA
Vermont	No	NA	NA	NA	NA
Virginia	Yes1	Based solely on income criteria of 133% FPL.	Yes	No	10/30/2010
Washington	Yes	Based solely on income criteria of 200% FPL.	Yes	No	11/30/2009
West Virginia	No	NA	NA	NA	NA
Wisconsin	Yes	Based solely on income criteria of 200% FPL.	No	No	12/31/2010
Wyoming	Yes	For women losing Medicaid postpartum; unlimited.	No	Yes	8/31/2013

(show/hide notes)

Notes:	"States must obtain waivers to continue Medicaid coverage of family planning services for women who would otherwise lose Medicaid coverage postpartum. All states are required to fund pregnancy-related care, including family planning services, for 60 days postpartum to women with incomes up to at least 133% of the federal poverty level. Other states have granted coverage solely on the basis of income to individuals not previously covered under Medicaid." (Guttmacher Institute)
Sources:	State Medicaid Family Planning Eligibility Expansions, State Policies in Brief, as of November 6, 2009, Guttmacher Institute. Available at: http://www.guttmacher.org/statecenter/spibs/spib_SMFPE.pdf.
Definitions:	CMS: Centers for Medicare and Medicaid Services. Waiver: Approval from the Centers for Medicare and Medicaid Services (CMS) that permits states to receive federal Medicaid financing for coverage that does not meet federal standards or that extends beyond federal options. NA: Not applicable.
Footnotes:	State also extends Medicaid eligibility for family planning services to women following a Medicaid-funded delivery. Applies to women ages 18-50. Expansion includes women who are least 18 years of age.

Help

Rank By: