Family Planning Services
The Affordable Care Act - the health
insurance reform legislation passed by Congress and signed into law
by President Obama on March 23, 2010 - helps make prevention
affordable and accessible for all Americans by requiring health
plans to cover recommended preventive services without cost
sharing. Learn more about the Affordable Care Act by clicking here.
FPS is a limited-benefit Medicaid
program that provides services for the prevention of or delay of
pregnancy and for the diagnosis and treatment of sexually
transmitted infections (STIs). FPS is a category of
medical assistance which may be available to both men and
women who apply for Ohio Medicaid.
Reproductive and sexual health care
services can help prevent unintended pregnancy, HIV, and other
STIs.Supporting access to affordable contraceptive services can
reduce unintended pregnancy. Health services can also help
promote knowledge about, and compliance with, recommended screening
and vaccination for specific STIs.
Healthy reproductive and sexual
practices can play a critical role in enabling people to remain
healthy and actively contribute to their community. Planning and
having a healthy pregnancy is vital to the health of women,
infants, and families and is especially important in preventing
teen pregnancy and childbearing, which will help raise
educational attainment, increase employment opportunities,
and enhance financial stability. Access to quality health services
and support for safe practices can improve physical and
emotional well-being and reduce teen and unintended pregnancies,
HIV/AIDS, viral hepatitis, and other sexually transmitted
Services covered under
Family Planning include, but are not limited to:
- Birth control and contraceptive
devices (including condoms)
- Sexually transmitted infections (STIs) tests and treatment
(except HIV and Hepatitis B)
- Screenings for cervical cancer and/or Mammograms (when
indicated by a breast examination during a routine or periodic
family planning visit)
- Immunization vaccines for children
from birth to age 18 -doses, recommended ages, and recommended
populations vary: Hepatitis A, Hepatitis B, and Human
Papillomavirus are covered immunization services for children who
receive medical assistance through FPS.
- FPS also offers prevention counseling
and screening for adolescents and adults for STIs.
- Some procedures and services may
require your provider to request prior authorization of
More detailed information regarding
services, supplies, and medications covered by FPS are available in
sections 5101:3-9-14, 5101:3-21-02, 5101:3-21-02.3, 5101:1-41-40 and their related appendices
of the Ohio Administrative code.
You may be eligible for FPS if
- Are a U.S. citizen or a qualified
- Are a resident of Ohio
- Are a man or woman of any age
- Have countable family income which does not exceed 200% of the Federal Poverty Level for your family size plus
- Are not eligible for other Medicaid programs, including delayed
- Do not have other health insurance
- Submit an online application here or
- Fill out an application through your
local Ohio Benefit Bank site. To find a site nearest you,
- Submit a paper Medicaid application
to your local county department of job and family services (CDJFS)
by mail, fax, email, or in person. You can use
any of the following applications: JFS 07200, JFS 07216, JFS 07103,JFS 07161or JFS 01137/01138. Medicaid does not have an incorrect
application. You can use any of these five forms under
section 5101:1-38-01.2 of the Ohio Administrative code. You can
find the address and phone number of your county agency at http://jfs.ohio.gov/County/County_Directory.pdf,
- Call the Medicaid Consumer Hotline at
1-800-324-8680 for assistance.
If you are eligible for
- You will receive a monthly Medicaid
- You will have 12 months of coverage before you have to
- Only Family Planning Services will be
- You may ask your CDJFS for necessary Non-Emergency Transportation
(NET) assistance for travel to and from providers who
provide services covered under the FPS program. You
cannot receive NET services for any services not covered by
Frequently Asked Questions:
Q1. I received a Family Planning
Services (FPS) card, do I have Medicaid?
A1. If you receive an FPS card,
you have limited coverage medical assistance through the Ohio
Medicaid program. The services are limited to those listed above
and in the cited sections of the Ohio Administrative
Q2. I did not sign up for this,
why did I receive this benefit? Can I get back on regular
Medicaid? If I don't want to receive this card, can I opt
A2. There are a numerous medical
assistance programs offered through the Ohio Medicaid program. If
you are approved for FPS, it means you did not qualify for any
other programs, but were found to be income eligible for
FPS. If you do not wish to receive an FPS card, tell
your case worker, and he/she can terminate the FPS coverage.
Q3. Why didn't someone tell me my
coverage was changing?
A3. You should have received written
notices in the mail informing you that your coverage was
changing. You have the right to appeal the change within 90
days of the change by requesting a state hearing. If you want
to request a state hearing, you can call 866-635-3748, send a
facsimile request to (614)728-9574 or email BSH@jfs.ohio.gov.
Q4. Is this FPS card issued
A4. Yes, the FPS card is issued
monthly. It is called a 'Fee for Service' card. Each
month you are eligible, you will receive the card in the
Q5. How long am I covered with this
A5. FPS certification periods are 12
months in length. You will be eligible to receive FPS as long as
your countable income does not exceed 200% of the Federal Poverty
Level. In 12 months, your case worker will review your
eligibility to see if you will still qualify for FPS coverage.
I don't think I can benefit from this card, I
1. past menopause or have under
gone sterilization surgery and can't have children, why should I
have Family Planning Services?
A1. Individuals, who are post
menopausal or previously had sterilization surgery, will not
benefit from the FPS program as visits for STI treatment and
diagnosis, mammograms, etc. must be associated with a reproductive
visit relative to the prevention of or delay of pregnancy.
2. male and therefore I can't get
pregnant; why am I getting this card?
A-2. Males can receive
contraceptive devices (condoms), sterilization, and diagnosis and
treatment for possible STI's through the FPS program.
3. a child; why should I receive Family
A-3. A child or adolescent can receive
immunizations against HPV, Hepatitis A and Hepatitis B, if an
immunization is associated with a reproductive visit related to the
prevention of or delay of pregnancy.
Types of service are covered
under FPS (not an all-includsive list):
Mammograms: You can receive a
referral for a mammogram from a medical provider
during a routine examination for breast cancer or family planning
visit, as long as the visit was for the prevention of or delay of
Condoms: You can obtain condoms
with your FPS card by presenting your card at the pharmacy.
Other birth control methods- pills,
IUD, shots, etc: There are many types of covered
birth control types. For more information, visit the provider
rules listed above in
the covered services section.
HPV immunization (Gardasil®) for
individuals aged 9-26 years to assist in the prevention
of certain types of cancers and/or genital warts caused by HPV, if
the immunization is associated with a reproductive visit related to
the prevention of or delay of pregnancy.
Treatment of a yeast infection: FPS may
cover treatment of a yeast infection which was
diagnosed as an STI by a medical provider during a family planning
visit for the prevention of or delay of pregnancy.
These services are not covered under
Services and treatments are not
provided for Hepatitis C
Services and treatment are not provided
Dental or vision services
Diagnosis or treatment of
Reversal procedures after a tubal
ligation or vasectomy, or any other sterilization procedure
Pregnancy planning (getting pregnant):
FPS is a pregnancy prevention program, not a program meant to
assist in causing or creating a pregnancy.