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improving infant mortality in ohio - Maternal and Child Health ...

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health not only dur<strong>in</strong>g pregnancy, but before, between, <strong>and</strong>beyond pregnancy <strong>and</strong> across their life course.8. Family Plann<strong>in</strong>g:a. Decrease unwanted/un-<strong>in</strong>tended pregnancies, prolong <strong>in</strong>ter-pregnancy<strong>in</strong>tervalb. Medicaid Family Plann<strong>in</strong>g Expansion /State Plann<strong>in</strong>g Admendment A healthy pregnancy is a planned pregnancy <strong>and</strong> one that does notoccur too close to a previous birth (space at least 18-24 monthsapart). As of January 2012 Ohio became the (? 29, 30 th , or 31 st )State to offer a family plann<strong>in</strong>g waiver, known <strong>in</strong> Ohio as the StatePlann<strong>in</strong>g Amendment (SPA). Ohio Medicaid’s recent expansionof eligibility for family plann<strong>in</strong>g services for men <strong>and</strong> women upto 200% of the FPL (federal poverty level) enables a whole newgroup of Ohioans to ga<strong>in</strong> access to family plann<strong>in</strong>g services thatwill help plan pregnancies, which will result <strong>in</strong> healthier babies.To apply for Medicaid family plann<strong>in</strong>g services, apply onl<strong>in</strong>e athttp://jfs.<strong>ohio</strong>.gov/OHP/consumers/Application.stm or contact yourlocal county department of job <strong>and</strong> family services:http://jfs.<strong>ohio</strong>.gov/County/County_Directory.pdf. Can we work with Medicaid <strong>and</strong> Managed Care Organizations tohelp ensure that women have seamless postpartum transition ontothis SPA w/o a hard stop between the postpartum end of theMedicaid coverage for their pregnancy <strong>and</strong> coverage forpostpartum SAP coverage of contraceptive services? S<strong>in</strong>ce womenwith private <strong>in</strong>surance do not have to re-apply to cont<strong>in</strong>ue theirbenefits after deliver<strong>in</strong>g a baby, is there a way for us not to requirewomen pay<strong>in</strong>g for their births by Medicaid to have to re-applybefore they can take advantage of this benefit? How does the SPA <strong>in</strong>fluence the ACA coverage? How do we assure that ALL mothers who deliver babies haveaccess to family plann<strong>in</strong>g services, <strong>in</strong>clud<strong>in</strong>g those who deliver atCatholic <strong>Health</strong>care Centers where family plann<strong>in</strong>g services arenot as available? My <strong>in</strong>terest is not to underm<strong>in</strong>e CatholicDirectives or to <strong>in</strong>terfere with the Catholic Church, but to becerta<strong>in</strong> that the option of family plann<strong>in</strong>g services are available toeveryone whish<strong>in</strong>g to access such services.1. I am not look<strong>in</strong>g for any type of m<strong>and</strong>ate here, but“community-level partnerships” that provide contraceptiveservices seamlessly/conveniently to women <strong>in</strong>terested <strong>in</strong>receiv<strong>in</strong>g them <strong>and</strong> to do so <strong>in</strong> a manner that respects theCatholic church.9. Policy:a. Should we look to legislatively “m<strong>and</strong>ate” FIMR as a part of CFR Rationale: <strong><strong>in</strong>fant</strong> <strong>mortality</strong> accounts for 66% of all <strong>Child</strong>hooddeath <strong>in</strong> Ohio, so we should have a process that conducts more <strong>in</strong>-

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