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Iowa Department of Human Services Kim Reynolds Adam Gregg Jerry R. Foxhoven Governor Lt. Governor Director July 20, 2018 Katarina Sostaric Iowa Public Radio Des Moines IA Sent via email: [email protected] Dear Ms. Sostaric: This letter is in regard to your e-mail sent to the Department of Human Services (DHS) on June 20, 2018, requesting information on the Family Planning Program (FPP). Specifically you requested information on: • The number of people enrolled in the FPP in each quarter of State Fiscal Year 2017 and in State Fiscal year 2018 Quarter 1,2, and 3. • The number of services accessed by FPP members in State Fiscal Year 2018 Quarter 2 and 3. • The FPP unique provider count in State Fiscal Year 2018 quarter 2 and 3. • The FPP unique provider count by provider type in each quarter of State Fiscal Year 2017 and 2018 quarter 1, 2, and 3. • Reimbursement for FPP services (quarterly total and per-member cost) in State Fiscal Year Services 2018 quarters 2 and 3. People enrolled in the FPP in each quarter of State Fiscal Year 2017 and State Fiscal year 2018 Quarter 1, 2, 3. The figures below represent the total number of individuals enrolled in the specific quarter. In the most recent fiscal year, the monthly average enrollment was 6,178. State Fiscal Year Quarter Family Planning-Program Enrollment 2017 1 42,079 2017 2 38,019 2017 3 32,400 2017 4 27,503 2018 1 22,822 2018 2 20,256 2018 3 17,256 Note: This data source contains an unduplicated count of all persons who met program eligibility criteria and were enrolled in the Iowa Family Planning Network Waiver or in the Family Planning Program. Enrolled person may not have yet obtained services. 1305 E. Walnut Street, Des Moines, IA 50319-0114 Ms. Sostaric July 20, 2018 The number of services accessed by FPP members in State Fiscal Year 2018 Quarter 2 and 3. Services accessed by members in State Fiscal Year 2018 Quarter 2: 1,523 Services accessed by members in State Fiscal Year 2018 Quarter 3: 1,125 Note: Distinct count of the number of members who accessed services or had a prescription filled by quarter. The count is based on Current Procedural Terminology (CPT) codes and a single member may have accessed multiple services. Services access counts are based on the date the service was reimbursed. The FPP unique provider count in State Fiscal Year 2018 Quarter 2 and 3. FPP unique provider count for State Fiscal Year 2018 quarter 2: 559 FPP unique provider count for State Fiscal Year 2018 quarter 3: 389 Note: Count of unique providers that provided a service by quarter including clinicians, clinic sites including family planning clinics, federally qualified health care centers, rural health clinics, as well as laboratories, and pharmacy services based on the providers’ National Provider Identification Number (NPI). The FPP unique provider count by provider type in each quarter of State Fiscal Year 2017 and 2018 Quarter 1, 2, 3. Provider SFY17 SFY17 SFY17 SFY17 SFY18 SFY18 SFY18 type Q1 Q2 Q3 Q4 Q1 Q2 Q3 Hospital 72 86 66 75 52 30 57 Physician 352 336 312 271 163 96 100 Pharmacy 514 481 475 416 400 306 167 Rural Health Clinic 42 53 53 57 23 10 5 Federally Qualified Health Center 17 16 20 20 12 8 4 Independent Labs 29 32 26 34 28 16 17 Family Planning Clinic 10 10 10 9 8 8 9 Note: Unique providers and provider types based on unique counts. Provider types listed above are not all inclusive of providers of family planning services. The categorization of providers may vary. 2 Ms. Sostaric July 20, 2018 Reimbursement for FPP services (quarterly total and per-member cost) in State Fiscal Year 2018 Quarters 2 and 3. State Fiscal Year 2018 quarter 2 total $174,517.71. Per-member cost $62.17. State Fiscal Year 2018 quarter 3 total $120,037.53. Per-member cost $61.37. Note: Per member cost and sum of dollar value for reimbursement of services, for all types of services including but not limited to clinic visits, contraceptive devices, oral contraceptives, blood work, pap smears and other laboratory services and based on CPT and diagnostic codes by quarter. We have received your additional request for State Fiscal Year 2018, Quarter 4 data for the categories above. At this time, Quarter 4 data is not available. The data provided by the Iowa Department of Human Services (DHS) in response to your request is provided “as is.” DHS cannot ensure the accuracy, completeness, or reliability of the data. The encounter validation process is not yet complete and a one percent (1%) error rate has not yet been achieved. Users accept the quality of the data they receive and acknowledge that there may be errors, omissions, or inaccuracies in the data provided. Further, DHS is not responsible for the user’s interpretation, misinterpretation, use or misuse of the data. DHS does not warrant that the data meets the user’s needs or expectations. If you have any other questions please feel free to reach out. Sincerely, Matt Highland Public Information Officer MH:hl 3