| (a) Covered services provided through FPP include:
(1) contraceptive services;
(2) pregnancy testing and counseling;
(3) preconception health screenings for:
(A) obesity;
(B) hypertension;
(C) diabetes;
(D) cholesterol;
(E) smoking; and
(F) mental health;
(4) sexually transmitted infection (STI) services;
(5) limited pharmacological treatment for the following
chronic conditions:
(A) hypertension;
(B) diabetes; and
(C) high cholesterol;
(6) breast and cervical cancer screening and diagnostic
services:
(A) radiological procedures including mammograms;
(B) screening and diagnosis of breast cancer; and
(C) diagnosis and treatment of cervical dysplasia;
(7) immunizations;
(8) limited pharmacological treatment for postpartum
depression;
(9) health history and physical exam;
(10) mental health counseling/treatment, including:
(A) individual, family, and group psychotherapy services;
and
(B) psychological testing administration and evaluation;
(11) health behavior intervention, including:
(A) screening, brief intervention, and referral for
treatment;
(B) smoking cessation services; and
(C) medication-assisted treatment;
(12) cardiovascular and coronary condition management,
including:
(A) cardiovascular evaluation imaging and laboratory
studies;
(B) blood pressure monitoring equipment; and
(C) antihypertensive medications; and
(13) diabetes management, including:
(A) laboratory studies;
(B) additional injectable insulin options; and
(C) blood glucose testing supplies.
(b) Non-covered services in FPP include:
(1) counseling on and provision of abortion services;
and
(2) other services that cannot be appropriately billed
with a permissible procedure code.
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