Long-acting reversible contraception
Long-acting reversible contraception (LARC) used immediately postpartum can prevent unplanned pregnancies or facilitate adequate spacing between pregnancies. Research demonstrates that inadequate birth spacing can heighten the risk of encountering placental abruption, placenta previa, autism in second born children, low birth weight and preterm birth.
To optimize LARC usage, prevent unplanned pregnancies and improve maternal and child health outcomes, the Pennsylvania Department of Human Services pays hospitals for LARC intrauterine devices and contraceptive implants in addition to the All Patient Refined–Diagnosis Related Group (APR-DRG) payment for obstetrical deliveries under the FFS delivery system.
In accordance with Medicaid, Geisinger Health Plan pays hospitals for LARC intrauterine devices and contraceptive implants in addition to the APR-DRG for obstetrical delivery services provided to your GHP Family patients. Submit claims for LARC in an outpatient hospital claim format using the appropriate procedure codes and modifiers identified in the Medicaid fee schedule.