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The Women’s Health Services program, Medicaid Eligibility (ME) code 80 and 89, is a limited benefit program. Please refer to the Provider Bulletin, Women’s Health Services, which shows that services and supplies are only covered for the primary purpose of family planning or when a family-related problem was identified and/or diagnosed during a routine family planning visit. This bulletin provides a complete list of covered services for the Women’s Health Services Program.
All services under the Women’s Health Services Program must be billed with a primary diagnosis code within the range of V25 through V25.9. The limited benefit plan is outlined in the Provider Manuals, General Section 10 - Family Planning.