Iowa Family Planning Demonstration Evaluation. Final Report

This demonstration provides access to family planning services for women with an income under 200% of poverty and for women who deliver a baby while in Medicaid who would normally lose their Medicaid enrollment 2 months postpartum. The demonstration pays for services provided by family planning clinics in addition to Medicaid providers. The University of Iowa contracts with the Iowa Department of Human Services to provide the evaluation of the Family Planning Demonstration. Analyses were performed to determine the effect of the demonstration on utilization of family planning services, number of Medicaid births, and Medicaid costs and savings. The demonstration has increased the numbers of women receiving family planning services within the Medicaid program. Over 65,000 women have accessed family planning services through this demonstration. The repeat birth rates for women accessing FPD services have dropped for most age groups with large decreases among teens. Reductions in Medicaid costs for deliveries and birth and first year of life are over $50 million. Net Medicaid savings are well over $10 million from this demonstration.