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Provider Materials
For All Providers
As of October 2008, many tools and resources have been incorporated into the Oregon Family Planning Program Manual.
2009 Oregon Reproductive Health Client Homelessness and Violence Resource Guide
Family Planning Program Manuals
The Oregon Family Planning Program Manual is divided into six sections. Clinics may need some or all of them, depending on whether they are FPEP-only or FPEP and Title X, and if they participate in the IPP project. All clinics should have:
The Cover, Table of Contents, and Introduction Section A - The Oregon Family Planning Program Section D - The Oregon CVR Guide, and Section F - Appendices
as well as the sections relevant to their program participation:
Section B - Title X Regulations and Requirements Section C - FPEP Section E - Region X Infertility Prevention Project (IPP)
The different sections and their Exhibits will be updated periodically, and will be available for download at that time. To keep track of updates, you may consult this FP Manual Change Log. Cover, Table of Contents, and Introduction (PDF, 8pp 287KB)
Section A: The Oregon Family Planning Program (PDF, 34pp, 319KB)
Section A Exhibits Exhibit 1 - DMAP Family Planning Codes Exhibit 2 - Multnomah County Central Stores Family Planning Supplies Catalogue Exhibit 3 - FPEP Vasectomy Implementation Flow Chart Exhibit 4 - Title X Oregon Vasectomy Project Flow Chart Exhibit 5 - Title X Oregon Vasectomy Project Authorization Request (updated 10-14-09) Exhibit 6 - Title X Oregon Vasectomy Project Enrollment & Billing Form (English & Spanish), (updated 10-14-09) Exhibit 7 - Federal Consent for Sterilization (English & Spanish)
Section B: Federal Title X Regulations and Requirements (PDF, 91pp, 626KB)
Section B Exhibits Exhibit 1 - Program Element #41 Exhibit 2 - DHS Revenue & Expenditure Report Exhibit 3 - Title X Service and Supply Discount Schedule (updated 2-2-09) Exhibit 4 - 2009 Family Planning Sliding Fee Schedule (updated 2-2-09) Exhibit 5 - Family Planning Program Review Schedule Exhibit 6 - Agency Review Tools (updated 1-9-09) Exhibit 7 - Budget Projection Worksheet & Instructions
Section C: FPEP (PDF, 33pp, 174KB), (updated 9-2-2009)
Section C Exhibits Exhibit 1 - FPEP Eligibility Database Instructions (updated 10-30-09) Exhibit 2 - FPEP Enrollment Form (updated 10-22-09) Exhibit 3 - FPEP Citizenship and ID Document Checklist Exhibit 4 - SSN Statement Exhibit 5 - FPEP Oregon Birth Information Form Exhibit 6 - Requesting Out-of-State Birth Certificates Exhibit 7 - FPEP Billable Visits Exhibit 8 - Maximum FPEP Reimbursement for Supplies Exhibit 9 - CVR Submission Deadlines 2008 and 2009 Exhibit 10 - CVR Rejection Messages (updated 1-9-09) Exhibit 11 - Sample CVR Error Report & Billing Register Exhibit 12 - Primary Care Referral Brochure Exhibit 13 - FPEP Reimbursement Rates
Section D: Oregon Clinic Visit Record (CVR) Guide (PDF, 36pp, 1,249KB)
Section D Exhibits Exhibit 1 - Project/Site Number Request Form Exhibit 2 - Ahlers Web Security Application Exhibit 3 - Sample Reports from CVR Data Exhibit 4 - Accessing Ahlers Data online Exhibit 5 - HIPAA letter from Ahlers Exhibit 6 - Oregon CVR Exhibit 7 - File Format for electronic submission of CVR data
Section E: Region X Infertility Prevention Program Guidelines (PDF, 21pp, 287 KB)
Section E Exhibits Exhibit 1 - Sample protocol Exhibit 2 - Chlamydia follow-up Exhibit 3 - Confidential STD case report
Section F: Appendices Appendix A - Directory of Oregon Family Planning Clinics (updated 3-9-09) Appendix B - Family Planning Program Contacts Appendix C - Department of Human Services Organization Chart Appendix D - Office of Family Health Organization Chart Appendix E - Women's & Reproductive Health Section Organization Chart Appendix F - Monthly Income Guidlines for Medicaid Coverage (updated 2-2-09) Appendix G - ICD-9 codes acceptable for FPEP
Training Updates Free FPEP Webinar Trainings at a Computer Near You!
FPEP Orientation Date: November 17, 2009 Time: 12:00 PM - 2:30 PM PST Registration: Click here
Rock the FPEP Enrollment Form Date: December 16, 2009 Time: 12:00 PM - 2:00 PM PST Registration: Click here
Webinar Resources
Videoconference Resources
Resources for Trainings Held in Portland
Register Online Now for NetLinks! Click here to register with the DHS Learning Center
Please make sure that you have a headset (if registering individually) or speakers and a microphone (if registering as a group) to participate in these interactive NetLink trainings. See instructions & equipment requirements below under NetLink Resources.
For technical assistance, please contact:
NetLink Resources
General Vasectomy Materials
As of October 2008, these materials have been incorporated into the Family Planning Manual. Please see Section A.7, as well as Exhibits A3 through A7, for details on providing vasectomies through FPEP orTitle X.
For your convenience the consent to sterilization forms are provided here. All other forms for vasectomies are exclusively for Title X and located in Section A Exhibits 5 and 6. Presentations from the 2009 Family Planning Coordinators' Meeting
For Title X Providers
Cost Analysis Training with Gerry Christie (2007) - We recommend viewing the full series in date order.
1. Download ("save") the Conference Player (exe) to your Desktop.
As of October 2008, FPEP tools, forms. and resources can be found in Section C of the Oregon Family Planning Program Manual.
Eligibility Changes 2006
As a result of the federal Deficit Reduction Act of 2005, all clients must provide citizenship verification documents to be eligible for FPEP (Family Planning Expansion Project), Oregon's family planning Medicaid waiver.
Out-of-State Birth Certificate Requests
FPEP applicants born in Oregon may request an electronic search for their birth record by submitting a Birth Information Form to their local clinic. Click here for more information about Oregon Birth Record Requests.
As of March 1, 2008, the State Family Planning Program will order birth certificates from other states to help non-Oregon born FPEP applicants document U.S. citizenship. The materials and links below explain this process.
Documents:
Links to State Birth Certificate Request Forms
Links to California County Forms Supplemental Citizenship and Identity Verification Resources
How to Become an FPEP Provider
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Oregon Family Planning Program Manual
