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Issue: Patient or service billed is not included in the Healthy Connections Checkup and Family Planning Program. Resolution steps

Identify your specific issue:

Did you bill a non-family-planning procedure for a Healthy Connections Checkup and Family Planning beneficiary?

• Make sure the Medicaid ID number reflects the patient and not, for example, another family member.
• Only bill procedures indicated for Healthy Connections Checkup and Family Planning beneficiaries.
• See list of family planning procedure codes. (Provider Manual, Section 4: Procedure Codes, Procedure Codes for Checkup and Family Planning)

Did you include the correct diagnosis code, procedure code, and/or modifier "FP" on the claim?

• See list of family planning diagnosis codes and procedure codes with modifier indication. (Provider Manual, Section 4: Procedure Codes, Procedure Codes for Checkup and Family Planning)

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