

If you have answered no to questions 1 through 3,
√ You may be eligible for extended Family Planning Benefits through the
Family Planning Medicaid
program. This program will provide you with
special Medicaid benefits. Under this program,
Medicaid will pay for:
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√ If determined eligible, you can receive
these family planning services from any Medicaid provider,
such as a birthing center, certified nurse midwife, county
health department, doctor, family planning
center, nurse practitioner, physician assistant, or rural or
federal health clinic.
If you have any questions or concerns about our
program, please contact Karen K. Edwards at
850-526-2412 extension 135.
If you feel that you are eligible for this
program you may click the link below and print the application.
Fill it out and mail to:
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Karen K. Edwards |
click here → Family Planning Medicaid Application (139.00kb word doc.)