Family Planning Perspectives
Volume 33, Number 2, March/April 2001
 

Reproductive Health Services for Adolescents
Under the State Children's Health Insurance Program
TABLES


Table 1. Number of programs with selected services and features under the State Children's Health Insurance Program (CHIP), by service or feature, according to program type
Service or feature Medicaid programs State-designed programs
(N=30) (N=28)
REPRODUCTIVE HEALTH CARE
All services listed 21 20
Routine gynecologic exam and Pap test 30 28
STD/HIV screening/testing 30 28
Contraceptive services
Oral contraceptives 30 26
Injectable 30 26
IUD 30 25
Diaphragm 30 25
Implant 30 24
Natural family planning 26 25
Emergency contraception 21 22
Abortion* 30 26
Pregnancy testing 30 28
Obstetric care 30 25
INFORMATION ON COVERAGE
All services listed 8 12
Routine gynecologic care 11 17
STD/HIV screening/testing 10 14
Contraceptive services 12 16
Pregnancy testing 10 15
Abortion 8 12
Obstetric care 10 14
INFORMATION ON ACCESSING CARE
All services listed 7 11
Routine gynecologic care 10 15
STD/HIV screening/testing 9 13
Contraceptive services 10 14
Pregnancy testing 9 13
Abortion 7 11
Obstetric care 9 13
REQUIRES CONFIDENTIALITY
At all points 9 8
Before reproductive health care 18 15
After reproductive health care, in all cases 11 10
After reproductive health care, only upon request 4 2
SITES WHERE ELIGIBILITY WORKERS ARE OUTSTATIONED
At any of the sites listed 9 9
Middle schools 4 3
High schools 4 3
Community-based organizations serving teenagers 3 5
Family planning clinics 4 4
Prenatal care clinics 8 6
STD clinics 3 3
PRESUMPTIVE ELIGIBILITY USED AT ANY SITE
All sites using 7 3
SITES CERTIFIED AS PRESUMPTIVE ELIGIBILITY PROVIDERS
Middle schools 0 0
High schools 0 0
Community-based organizations serving teenagers 2 0
Family planning clinics 3 1
Prenatal care clinics 6 0
STD clinics 1 0
Private physicians 2 1
*In cases of life endangerment, rape or incest.

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Table 2. Services and features of CHIP related to contraceptive services, by state and program type
State Cover all five major prescription methods Routinely inform adolescents about service Are required not to notify parents adolescents of about repro. health care* Guarantee access to contraceptive services from out-of-network providers
Coverage of contraceptive services Accessing contraceptive services Before After
MEDICAID PROGRAMS
Medicaid only
Alaska Yes No No Yes Yes na†
Arkansas Yes No No No Yes na†
D.C. Yes Yes Yes Yes No Yes
Idaho Yes No No Yes Yes na†
Illinois Yes No No No No na‡
Indiana Yes No No No No Yes
Louisiana Yes No No No No na†
Maryland Yes Yes No Yes Yes Yes
Missouri Yes Yes Yes No Yes Yes
Nebraska Yes No No Yes No Yes
North Dakota Yes No No No No Yes
Ohio Yes No No No No Unknown
Oklahoma Yes No No Yes No Yes
Rhode Island Yes Yes Yes Yes Yes No
South Carolina Yes Yes No No No Yes
Tennessee Yes Yes Yes No No No
Texas Yes No No Yes Upon request Yes
Wisconsin Yes Yes Yes Yes No Yes
Part of combination program
Alabama Yes No No No No na‡
California Yes No No Yes Upon request Yes
Connecticut Yes Yes Yes Yes Upon request Yes
Florida Yes No No Yes No No
Iowa Yes No No No No No
Kentucky Yes No No Yes Yes Yes
Maine Yes No No Yes Yes Yes
Massachusetts Yes Yes Yes Yes Yes Yes
Michigan Yes No No Yes Yes Yes
Mississippi Yes Yes Yes No No No
New Jersey Yes Yes Yes Yes Upon request Yes
New York Yes Yes Yes Yes Yes na‡
STATE-DESIGNED PROGRAMS
State-designed only
Arizona Yes Yes Yes No No No
Colorado Yes Yes No Yes Yes No
Delaware Yes No No No No No
Georgia Yes No No No Yes na†
Kansas Yes Yes Yes Yes No No
Montana No na na na† na† na
Nevada Yes Yes Yes No No Yes
New Hampshire No§ Yes Yes No No No
North Carolina Yes Yes Yes No No na†
Oregon Yes Yes Yes Yes No Yes
Pennsylvania No na na Yes** No na
Utah No§ No No No No No
Vermont Yes No No Yes Yes na‡
Washington Yes Yes Yes Yes Yes Yes
West Virginia Yes Yes No No Upon request na†
Wyoming Yes No No No Yes na†
Part of combination program
Alabama Yes No No Yes No na†
California Yes Yes Yes Yes No Yes
Connecticut Yes Yes Yes Yes Yes No
Florida Yes Yes Yes Yes Yes No
Iowa Yes No No No No No
Kentucky Yes No No Yes Yes Yes
Maine Yes No No Yes Yes Yes
Massachusetts Yes Yes Yes Yes Yes Yes
Michigan Yes No No No No No
Mississippi Yes Yes Yes No No No
New Jersey Yes Yes Yes Yes Upon request Yes
New York Yes Yes Yes Yes No Yes
*Applies to all reproductive health services, not only contraceptive services. †Adolescents are never enrolled in managed care. ‡Contraceptives are never included or are only sometimes included in managed care contracts. §New Hampshire does not cover the IUD, implant or diaphragm; Utah does not cover the implant. **The state requires that parents not be notified before reproductive health care, but the state does not cover contraception under CHIP. Notes: The survey was not applicable to the programs in Hawaii and Minnesota because of the programs' low age limits. New Mexico, South Dakota and Virginia did not respond to the survey. na=not applicable.

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Table 3. Number of programs enrolling adolescents in managed care under CHIP with selected services and managed care contract features, by program type and service
Service Medicaid State-designed
(N=26) (N=22)
Service included in all contracts
Routine gynecologic care 25 22
STD/HIV screening/testing 25 22
STD/HIV treatment 25 22
Contraceptive services 23 20
Pregnancy testing 24 22
Abortion 17 18
Obstetric care 25 21
Plans required to demonstrate "reasonable access"*
Routine gynecologic care 25 20
STD/HIV screening/testing 23 19
STD/HIV treatment 23 19
Contraceptive services 22 18
Pregnancy testing 24 20
Abortion 17 16
Obstetric care 25 19
Plans required to allow access to out-of-network providers*
Routine gynecologic care 11 6
STD/HIV screening/testing 17 8
STD/HIV treatment 16 7
Contraceptive services 17 9
Pregnancy testing 18 8
Abortion 7 5
Obstetric care 9 5
*Only includes programs in which all managed care contracts offer the specified service.

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Table 4. Number of states using selected outreach activities under CHIP (N=46)
Type No.
Adolescent-specific 27*
Hotline 16*
Printed materials 24*
Media campaign 22*
Internet-based campaign 9
Other 10*
Sites where outreach materials are provided
Middle schools 42*
High schools 42*
Community-based organizations serving teenagers 42*
Family planning clinics 36*
Prenatal care clinics 37*
STD clinics 31*
Shopping malls 22*
Fast-food outlets 25*
Sites where enrollment forms are provided
Middle schools 33*
High schools 35*
Community-based organizations serving< teenagers 37*
Family planning clinics 34*
Prenatal care clinics 35*
STD clinics 28*
Shopping malls 12*
Fast-food outlets 14*
*Includes the District of Columbia.


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© copyright 2001, The Alan Guttmacher Institute.