Health and Human Services (HHS) Promotes Women’s Health by Raising Awareness of Long-Acting Reversible Contraception (LARC)

Effective Date: March 5, 2020 The American College of Obstetricians and Gynecologists recommends LARCs for the following reasons:

• LARCs are the most effective reversible contraceptive method
• There is no further action required for the patient to avoid pregnancy after the device is in place
• LARCs have high rates of patient satisfaction and method continuation
• LARCs can be removed at any time if the patient plans to conceive or use another form of birth control

How this impacts providers: Providers must decide if their patient qualifies as an ideal candidate for LARC by following the recommendations outlined in the HHS Texas LARC Toolkit: Texas LARC Toolkit When providers recommend a LARC for their patient they should ensure proper education and understanding prior to obtaining consent from the patient. Next steps for providers: Providers should verify that correct billing processes are in place including proper coding. For LARCs, the provider will bill for both insertion of the device and the device itself. The date of the insertion and the date of the device claim do not have to be the same for reimbursement. LARC Codes

Code	Description
58300	IUD Insertion
11981	Implant Insertion

   LARC Device codes

Code	Description
J7297	Liletta®
J7298	Mirena ®
J7300	Paragard®
J7301	Skyla®
J7307	Nexplanon®
J7296	Kyleena ®

  LARC resources for providers:Texas Medicaid Provider Procedures Manual LARC PolicyTexas Vendor Drug Program LARC ProductsTexas Health Steps LARC Course The American College of Obstetricians and Gynecologists  LARC clinical and training resources LARCs are a covered service in both the Healthy Texas Women program and the Family Planning Program and for Medicaid members who receive care through Medicaid for Pregnant Women. This service is excluded from the CHIP Program.   If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.For access to all provider alerts,log into: www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers