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Resources Supporting Coverage of Over-the-Counter Oral Contraception Under State Standing Orders

ForwardHealth covers over-the-counter (OTC) oral contraceptives under two standing orders issued by the chief medical officer for the Division of Medicaid Services in the Wisconsin Department of Health Services in early 2024. Materials related to these standing orders are posted below for easy reference.

ForwardHealth Updates

Update and Release Date Description of Policy Change
Update 2024-04, “ForwardHealth Coverage of Over-the-Counter Oral Contraception for BadgerCare Plus and Medicaid Members” (01/24/2024) This Update informs providers of the background and implementation details related to the use of the standing order to cover OTC oral emergency contraception (levonorgestrel) products.
Update 2024-09, “ForwardHealth Coverage for Over-the Counter Opill (Norgestrel) for BadgerCare Plus and Medicaid Members” (03/18/2024) This Update informs providers of the background and implementation details related to the use of the standing order to cover the OTC contraception product Opill (norgestrel).

Supplemental Materials

The table below has links to the standing orders and the member flyer for easy reference.

Title Description
Standing Order for Emergency Contraception for Members of Wisconsin’s Medicaid Programs Signed standing order, effective 01/24/2024.
Standing Order for OTC Norgestrel (Opill) Pills for Members of Wisconsin’s Medicaid Programs Signed standing order, effective 03/18/2024.
BadgerCare Plus and Wisconsin Medicaid Over-the-Counter Oral Contraceptives, P-03564 (03/2024) Revised member flyer for posting.
BadgerCare Plus and Wisconsin Medicaid Over-the-Counter Oral Contraceptives, Hmong, P-03564H (03/2024) Revised Hmong member flyer for posting.
BadgerCare Plus and Wisconsin Medicaid Over-the-Counter Oral Contraceptives, Spanish, P-03564S (03/2024) Revised Spanish member flyer for posting.
 
 
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