Texas Health and Human Services
Uploaded by: Knoema
Accessed On: 11 September, 2018
Long-acting reversible contraceptive (LARC) claims were defined as contraceptive implants and intrauterine devices using procedure codes 11981, 58300, J7300, J7301, J7302, and J7307. All other procedure codes were categorized as "Other Contraceptive Services".
Medicaid prescription drugs used for contraception were defined using HIC3, AHFS, General Therapeutic Class, and Standard Therapeutic Class codes (see detailed list in the "Notes" tab). All payment status codes were included in the analysis. Paid claims (e.g., status code = 'PD') were used to compute unduplicated client counts and claim counts. All claims (e.g., status code = 'PD', 'RV', 'PR') were used to compute total cost.
Long-acting reversible contraceptive (LARC) prescriptions were defined as contraceptive implants and intrauterine devices, using HIC3 code X1C.
Women's Health Program (WHP) clients were identified as women enrolled in Medicaid Type Program code 68 between 9/1/2011 and 8/31/2012. Texas Women's Health Program (TWHP) clients were identified as women enrolled in Medicaid Type Program code 68 between 9/1/2012 and 8/31/2014. Clients were enrolled in only one Medicaid program per calendar month, but they could be enrolled in both WHP/TWHP and other Medicaid programs during the same fiscal year.
Contraceptive claims and prescriptions for WHP/TWHP clients were identified by matching WHP/TWHP enrollment files with all contraceptive claims and prescription drug claims by client id and calendar month. All contraceptive claims that were not provided to WHP/TWHP clients were identified as Medicaid claims.
Diagnosis code was not used in the analysis to differentiate contraceptive-related services from general medical services. In addition, the analysis was not restricted to females, so the results for some contraceptive-related procedure codes that can also be used for non-contraceptive purposes may have inadvertently included males. The following procedure codes may include general medical services in addition to contraceptive-related services, which may overstate the results for contraceptive services:
96372 - Injection, Therapeutic, Prophalactic, or Diagnostic
J3490 - Injection, Drugs Unclassified
00840 - Anesthetic, Surgery to Lower Abdomen