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

Clinical Training

Coding, Billing, and 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.