Family Planning Service Only (P05)

See ACES Screens and Online pages for an example of pages or screens used in this chapter.

What is the Family Planning Service Only (P05) medical program?

P05 medical provides coverage for family planning services for women who were:

  • Eligible for medical coverage on the last day of their pregnancy, or
  • Who were approved retroactive pregnancy medical.

For more information regarding P05 medical, see:

How long is the Family Planning Service Only (P05) certification period?

The P05 certification period is ten months following the client's sixty-day post pregnancy coverage.

When does Family Planning Service Only (P05) medical begin?

The following pregnancy medical assistance units trickle to P05 medical at the end of their regular certification periods:

  • MAGI - Pregnancy - Federal (N03)
  • MAGI - Pregnancy State (N23)
  • Medically Needy Pregnancy (P99)
NOTE: All individuals who receive Washington Apple Health (WAH) pregnancy coverage are auto-opened on P05 through the end of the twelve-month post-partum period.  This occurs for eligible individual(s) whose Modified Adjusted Gross Income (MAGI) coverage is closed and they are not active on any other Categorically Needy (CN) coverage.

What if the client reports a new pregnancy during the family planning extension?

If a client reports a pregnancy during the family planning extension, refer the client the www.wahealthplanfinder.org to apply for pregnancy medical coverage.

Online Processing

What happens if Family Planning Service Only (P05) is not auto-opened at the end of the pregnancy medical certification period?

If P05 medical is not automatically opened at the end of the pregnancy medical certification period, then users should screen in a new P05 Assistance Unit (AU). For more information on how to screen an AU, see Screening an Application.

Mainframe Processing

What happens if Family Planning Service Only (P05) is not auto-opened at the end of the pregnancy medical certification period?

If P05 medical is not automatically opened at the end of the pregnancy medical certification period, then users should screen in a new P05 Assistance Unit (AU). For more information on how to screen an AU, see Screening an Application.

 

See ACES Screens and Online pages for an example of pages or screens used in this chapter.