Health Care Delivery

Title X allows participating health centers to use their federal funds not only for the reimbursement of clinical services but also to fund health center operations and other critical infrastructure needs of publicly funded family planning providers. The ability to apply these supplemental resources to functions beyond clinical services - staff salaries, patient and community education, rent, utilities, and health information technology - is essential to health centers’ capacities to provide services to low-income, underinsured, and uninsured individuals. Furthermore, Title X recipients and Medicaid-funded providers are also eligible for participation in the 340B drug discount program which allows health centers to purchase certain prescription drugs at highly reduced rates.

NFPRHA's Work

NFPRHA works to leverage resources and advocate for policies that strengthen the publicly funded family planning network and providers’ capacity to maintain a strong safety net for vulnerable populations. Family planning service providers are struggling to support the demands caused by a changing patient population and declining federal and state investment. To maintain a high-quality standard of care delivery, health facilities are in need of funds and resources to modernize and sustain their operations.

Resources

NFPRHA Toolkits

A Framework for Quality Improvement: Family Planning and Patient-Centered Specialty Practice Toolkit (PDF) - This toolkit features checklists, charts, guides, and example documentation to assist family planning organizations to assess readiness and apply for the National Committee of Quality Assurance's (NCQA) 2013 Patient-Centered Specialty Practice Recognition (August 2015).

	NFPRHA's Position
	NFPRHA supports resources and policies that help improve health centers' operations and abilities to deliver quality care to their patients.

NFPRHA's Position

Health Center Operations

NFPRHA supports resources and policies that help improve health centers' operations and abilities to deliver quality care to their patients.

Happening Now

340B Drug Discount Program under attack by pharmaceutical companies and opponents in Congress.
MITECH bill introduced to increase funding for safety-net centers to implement and improve health information technology.
National Health Service Corps providers now available to family planning providers, thanks to ACA.

Intrauterine Devices and Implants: A Guide to Reimbursement: Second Edition (PDF) - A guide to help safety-net providers navigate the stocking, billing, and reimbursement of contraceptive implants and intrauterine devices with the goal of reducing barriers to providing this care. Produced in collaboration with ACOG, NHeLP, NWLC, and the UCSF Bixby Center for Global Reproductive Health (August 2015).
Sexual and Reproductive Health Meeting Toolkit (PDF) - A toolkit designed to help stakeholders working in the field of SRH to break down the silos that often exist between the sectors of family planning, STD, and HIV/AIDS (April 2014).

NFPRHA Case Studies

Sustainability Solutions: How Title X Programs and FQHCs Can Work Together & workbook (PDF) - Examines family planning organizations that have implemented different FQHC strategies, with particular focus on the decision-making and implementation processes (April 2014).
Improving Sustainability through a Positive Patient Experience (PDF) - Demonstrates how patient experience data can be collected and utilized to inform quality improvements and sustainability strategies (October 2014).

Other Resources

Family Planning Superbill Template with ICD-10 Codes (Excel) – A customizable superbill template for family planning provider settings. Includes ICD-10 codes to be used on October 1, 2015. (August 2015)
The Title X Factor: Why the Health of America’s Women Depends on More Funding for Family Planning (PDF) – Roosevelt Institute report on Title X’s post-ACA importance to maintaining family planning infrastructure and meeting new patient demands (October 2013).
Next Steps for America’s Family Planning Program: Leveraging the Potential of Medicaid and Title X in an Evolving Health Care System (PDF) – Guttmacher Institute report on value of Title X to keeping the family planning infrastructure strong as the health system changes (2009).

For additional resources & information, access NFPRHA fact sheets and federal comments by issue or read NFPRHA's publications and recent press statements.

Health Care Delivery

NFPRHA's Work

Resources

Happening Now

NFPRHA Case Studies

Issues

National Family Planning & Reproductive Health Association