Long-Acting Reversible Contraceptives (LARC) are methods of contraception that include hormonal and non-hormonal Intrauterine Devices (IUD) and the hormonal implant, with a variety of types lasting between 3-12 years. LARC methods are some of the most effective contraceptive methods available, with typical use effectiveness rates above 99% (American College of Obstetricians and Gynecologists, 2017).
Beginning on January 1, 2019, Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) in Louisiana will be able to bill Medicaid Managed Care Organizations for reimbursement for LARC methods in addition to the Prospective Payment System (PPS) encounter rate.
Update to Medicaid Policy: Separate Reimbursement for Long-Acting Reversible Contraceptives in FQHCs and RHCs
November 1, 2018
More information on how to bill Louisiana Medicaid Managed Care Organizations will be available soon.
Resources for Providers
To support medical providers who would like to learn more about LARC methods, including how to order supplies, place devices, and code and bill for reimbursement, the Reproductive Health Program has compiled a collection of online trainings and resources. If you would like to speak with the Reproductive Health Program about this directly, please contact Cara McCarthy at cara.mccarthy@la.gov
Clinical Protocols
- Protocol for Provision of Intrauterine Contraception
- Protocol for Provision of the Contraceptive Implant
- Clinical Training Tools
Clinical Training
- LARC Clinical Training Opportunities
- Online Training (Beyond the Pill)
- LARC Link (National Clinical Training Center for Family Planning)
Coding, Billing, and Reimbursement
- LARC Quick Coding Guide Supplement (Beyond the Pill)
- ACOG Practice Management Coding and Billing
- Long-Acting Reversible Contraception (LARC) Quick Coding Guide (ACOG)
- Intrauterine Devices & Implants: A Guide to Reimbursement
Stocking and Tracking
Outreach and Promotion
References
American College of Obstetricians and Gynecologists. (2017, Nov). Long-Acting Reversible Contraception: Implants and Intrauterine Devices. ACOG Practice Bulletin, pp. e251-e269.