Medicaid Reimbursement for Postpartum LARC
The provision of immediate postpartum long-acting reversible contraception (IPP LARC) is an essential component of comprehensive reproductive health care and helps empower patients to choose a method right for them. However, more widespread adoption of immediate postpartum LARC has been hampered by systems barriers, such as the inability to obtain reimbursement for LARC devices and services provided immediately postpartum. On April 8, 2016, the Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) released an Informational Bulletin detailing payment and policy approaches state Medicaid agencies have used to optimize access and use of long-acting reversible contraception (LARC) methods. As of October 2023, 45 states and the District of Columbia have published guidance on Medicaid reimbursement of IPP LARC largely due to ACOG’s advocacy efforts. States can take one of three pathways to reimburse for IPP LARC outside of the global obstetric payment: providing sperate reimbursement for the LARC device, providing separate reimbursement for insertion of the LARC device, or providing separate reimbursement for both services.
The map and the accompanying chart below detail state policies regarding reimbursement for IPP LARC.
Medicaid Reimbursement for Postpartum LARC in the Hospital Setting
Last Updated November 2023
Find Guidance for Your State
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Alaska
State unbundles payment, public guidance document not available
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California
Medi-Cal: Diagnosis Related Group Payment Method Frequently Asked Questions for State Fiscal Year 2019-2020 *See pages 25 and 26
July 2019County of Los Angeles Public Health: Billing and Reimbursement This document provides further guidance
July 1, 2015 -
Delaware
Delaware Department of Health and Human Services, Provider Policy Manual (Fee-for-Service Delivery System) *See page 22
February 1, 2019 -
District of Columbia
District of Columbia Department of Health Care Finance: Transmittal 14-24 – Medicaid Coverage of Long Acting Reversible Contraception
September 22, 2014 -
Georgia
Clinical Policy: Long Acting Reversible Contraception (LARC) Devices
August 2019 -
Idaho
Idaho Medicaid Provider Handbook: Physician and Non-Physician Practitioner *see page 37
January 1, 2020 -
Iowa
State unbundles payment, public guidance document not available
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Louisiana
Louisiana Department of Health and Hospitals: Informational Bulletin 16-11 – Billing and Ordering Guidance for Long Acting Reversible Contraceptives (LARCs): Intrauterine Devices (IUD) and Implants
July 20, 2018Louisiana Department of Health and Hospitals: Health Plan Advisory 14-9 - Long-Acting Reversible Contraceptives (LARCs) for Inpatient Hospitals
Revised May 2016Louisiana Bureau of Health Services Financing: Hospital Services Provider Manual *See document section 25.2 page 10
July 2011 -
Maine
State unbundles payment, public guidance document not available
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Maryland
The Maryland Immediate Postpartum Long Acting Reversible Contraception (IPP LARC) Toolkit
Maryland Medicaid Program Reproductive Health Services: Long-Acting Reversible Contraceptives (LARCs) *see page 14-15
October 2023 -
Massachusetts
All Acute Inpatient Hospitals – Billing Instructions for LARC Devices
March 1, 2018Massachusetts Office of Medicaid: MassHealth – Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital-Services, Effective October 1, 2017, *See pages 7-9
September 28, 2017 -
Michigan
Bulletin MSA 18-22 Inpatient Long-Acting Reversible Contraception (LARC) Reimbursement
August 31, 2018LARC Requirements
2018 -
Minnesota
Minnesota Department of Human Services – Family Planning
March 2025Minnesota Health Care Programs (MHCP) Provider News: Hospital services providers may independently bill for long-acting reversible contraceptives (LARCs) effective Jan. 1, 2024 *see page 10
February 27, 2024 -
Mississippi
State unbundles payment, public guidance document not available
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Missouri
MO HealthNet Provider Bulletin Volume 41 Number 43: Long-Acting Reversible Contraceptive (LARC)
February 20, 2019MO HealthNet Division: Provider Bulletin Volume 38 Number 42: LARC Devices Inserted Post-Partum During an Inpatient Hospital Stay
May 11, 2016 -
Nevada
Nevada Department of Health and Human Services: Medicaid Coverage of Long-Acting Reversible Contraception Methods (LARCs)
January 2020Nevada Department of Health and Human Services: Long-Acting Reversible Contraceptives (LARCs) – Nevada Medicaid Current Procedural Terminology (CPT) code 58300
August 9, 2016 -
New Hampshire
NH Healthy Families: Postpartum Long-Acting Reversible Contraception Reimbursement Update, Effective January 1, 2018
November 30, 2017 -
New Jersey
Reimbursement for Physician Outpatient-Administered Drugs, Including Long-Acting Reversible Contraceptive (LARC) Devices. Newsletter Volume 32 No. 07
March 2022 -
New York
- New York State Department on Health: Medicaid Update, March 2017
- Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Postpartum Service (Physician), May 2014
- Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Postpartum Service (Inpatient), May 2014
- Clarification on Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Post-Partum Service, April 2015
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New Mexico
New Mexico Medical Assistance Program Manual: Medicaid Billing for LARC Products Provided in an Inpatient Setting
August 13, 2019 -
North Carolina
North Carolina Division of Medical Assistance: Medical Special Bulletin – Clarification on Billing for Long Acting Reversible Contraceptives
January 24, 2019North Carolina Division of Medical Assistance: Medical Special Bulletin – Update to Reimbursement of Long Acting Reversible Contraceptives (LARCs)
October 5, 2018North Carolina Obstetrical & Gynecological Society: LARC Medicaid Reimbursement Update
November 20, 2017N.C. Medicaid Bulletin: October 2017 *see page 17
October 2017 -
Ohio
Ohio Department of Medicaid: Office of Policy Hospital Billing Guidelines *See page 36
July 21, 2021 -
Oklahoma
Oklahoma HealthCare Authority: SoonerCare Provider Reimbursement Notice Hospital Updates – LARC
September 28, 2015 -
Oregon
Oregon Health Authority: Fee-for-Service (FFS) Billing for Postpartum Long-Acting Reversible Contraception (LARC) Services
March 3, 2017Oregon Health Authority: Health Evidence Review Commission (HERC) Coverage Guidance – Timing of Long-Acting Reversible Contraceptive (LARC) Placement
November 10, 2016Oregon Health Authority: Health Evidence Review Commission (HERC) Letter to Medical Directors – LARC Implementation
November 10, 2016 -
Pennsylvania
State unbundles payment, public guidance document not available
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Rhode Island
State unbundles payment, public guidance document not available
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South Carolina
South Carolina HHS: Medicaid Bulletin – Long Acting Birth Control Device Provided in a Hospital Setting
January 29, 2012South Carolina HHS: Medicaid Bulletin – (Clarification Bulletin) Long Acting Reversible Contraceptives Provided in an Inpatient Hospital Setting
August 13, 2013 -
South Dakota
South Dakota Medicaid Billing and Policy Manual: Family Planning
October 2021 -
Texas
Texas Health and Human Services: The Texas Long-Acting Reversible Contraception Toolkit (Volume 2)
June 2018 -
Utah
Utah Department of Health – Medicaid: Medicaid Information Bulletin *See page 10
January 1, 2017 -
Virginia
Virginia Postpartum LARC Toolkit
November 2021 -
Washington
Family Planning Billing Guide
January 2023Washington State Health Care Authority: Family Planning Provider Guide - Immediate Postpartum LARC Insertion *See page 69
October 2015