Section 30, Family Planning, Updated Base Rates and Resulting Final Rates - CR 130980

Effective January 1, 2025, fb88Care updated the base rates and resulting final rates for certain Family Planning Services delivered by eligible providers. These new rates were implemented for billing on April 2, 2025.

Only providers engaged primarily in the delivery of sexual and reproductive health care services, as described in , are eligible to bill add-on rates.

You may view the , including the base rates, add-on rates, and final rates, on the Health PAS Online Portal.

Adjustment of Claims

  • fb88Care will reprocess claims submitted with charges at or above, the new rates for dates of service January 1, 2025 through April 2, 2025. No provider action is needed.
  • For claims submitted with charges below the new rates for the same date span above, providers will be responsible for adjusting claims within 120 days of this notice. Please adjust the oldest dates first.

For questions, please contact your Provider Relations Specialist.