Performance Improvement 2005. Evaluation of Medicaid Family Planning Demonstrations


This project evaluated the impact and effectiveness of Medicaid family planning demonstrations. Historically, Medicaid Section 1115 Family Planning Demonstrations providing Medicaid coverage for family planning services increase the likelihood that low-income women will use these services, decreasing the likelihood of having unintended or untimely pregnancies. Currently, 15 states operate family planning demonstration programs. Of the 14 demonstrations operational at the time of sample selection, the 6 state demonstrations selected had available data and participated in the Pregnancy Risk Assessment Monitoring System (PRAMS). This project specifically examined whether the demonstrations: (1) were budget neutral, (2) increased access to services, (3) prevented unintended pregnancies, and (4) substituted for other family planning programs. Major findings included: (1) Savings from averted births exceeded cost of family planning coverage when the proposed model budget neutrality formula was applied. (2) In some states, use of family planning increased under the demonstrations, in others, it did not. (3) Evidence from non-program sources suggested the presence of family planning demonstration can be associated with decreased unintended pregnancies; and (4) most states used Medicaid (Title XIX of the Social Security Act) funds to partially substitute for other sources of family planning funding.

PIC ID: 7982; Agency Sponsor: CMS-CMSO, Center for Medicaid & State Operations; Federal Contact: Farrell, Kathleen, 410-786-1236; Performer: CNA Corporation, Alexandria, VA

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