Family Planning Copayments
HFS System Issue:
Copayments may be taken incorrectly for office visits when billed for Family Planning Services.
Family Planning Services are exempt from cost sharing. However, programming is not in place to prevent a copayment from being taken from reimbursement for office visits that indicate a Family Medical Service was provided by use of a diagnosis code in the V25 series.
Physicians, Advance Practice Nurses, Federally Qualified Health Centers (FQHC), and Rural Health Clinics (RHC), Local Health Departments (LHD)
Procedure Codes Impacted:
Problem Begin Date:
October 1, 2014
Problem Fix Date:
To be announced.
Resolution for Impacted Claims:
To be announced. Please continue to access this site for updated announcements.