Family Planning: Provider Materials

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Family Planning Program

Department
- Human Services Department
- Divisions

Provider Materials

On this Page:

For All Providers
  Tools and Resources
  Program Manuals
  Training Updates
  Vasectomy Materials

For Title X Providers
  Title X Tools
  Guidelines for Title X Providers
  Title X Reports

For FPEP Providers
FPEP Tools
Citizenship/ID Verification

Eligibility Changes 2006

Administrative Rules
How to Become an FPEP Provider

More Resources:

Provider Update Newsletters

Contraceptive Methods Fact Sheets

Counseling & Educational Tools

New FPEP eligibility requirements

Tools and Resources

For All Providers

Tools and Resources

2008 FPL (Federal Poverty Level) Guidelines for TITLE X (PDF) - Effective March 1, 2008
2008 FPL (Federal Poverty Level) Guidelines for Title X and FPEP (PDF) - Effective March 1, 2008
Project/Site Number Request Form (Word)
CVR Form (last revised 11-1-2006) for FPEP billing and Title X data reporting (PDF)
2008 CVR Submission Deadlines (PDF)
Ahlers Report Error Codes & Explanations (NEW as of 6-25-07) (Excel)
How to Access Ahlers Data Online (PDF)
Ahlers' Web Site
Oregon Family Planning Clinics by Agency Name (as of 12-28-2007) (PDF)
Family Planning Coordinator Description (4-1-07) (Word)

Family Planning Program Manuals

Oregon Family Planning Program Manual

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 download:

          Cover / Introduction / Table of Contents

          Section A / Overview

          Section D / CVR Manual

          Section F / Appendices

plus their program-specific manual. Individual pages and sections will be updated periodically, and will be available for download at that time.

Cover, Introduction, Table of Contents (PDF, 6pp 134K)

Section A:
Oregon's Family Planning Program Overview (PDF, 48pp, 1.2MB)
Section B:
Title X Family Program Guidelines (PDF, 116pp, 1.6MB)
Section C:
Family Planning Expansion Project / FPEP Program Manual (PDF, 32pp, 645K)
Section D:
Oregon CVR Instruction Manual (PDF, 62pp, 2.8MB)
Section E:
Region X Infertility Prevention Project [IPP] (Chlamydia Project) Manual (PDF, 18pp, 371K)
Section F:
Appendices – Clinic directory, glossary (PDF, 20pp, 374K)

Oregon Chlamydia (Infertility Prevention Project - IPP) Manual

Oregon Chlamydia/IPP Manual (PDF)
Sample Chlamydia testing and treatment protocol (Word)
Sample Chlamydia chart form (Word)
Case reporting form with local health department back page (Word)
Case reporting form with state back page (Word)

Training Updates

2008 FPEP Trainings

Register now for August FPEP Trainings in Portland! All participants must complete a Training Registration Form (Word) (pdf ) by July 14, 2008.

Videoconferences must be organized by local staff. A Videoconference Host must complete the VCON Registration Form (Word) (pdf) by July 14, 2008.

FPEP Orientation: Introduction to the Family Planning Expansion Project
- Monday, August 11th 12:30 - 4:00 (Portland, VCON, Register by 7/14/08)
- Tuesday, October 28th 1:00 - 4:30 p.m. (NETLINK, Register by 10/22/08)

Program Integrity Plan: What you need to know to keep the dough
- Tuesday, August 12th 9:00 - 11:30 a.m. (Portland, VCON, Register by 7/14/08)
- Tuesday, November 18th 1:00 - 4:30 p.m. (Register by 11/12/08)

Videoconference Resources

Videoconference Host Checklist (Word) Revised 5-12-08
DHS Videoconference Sites Statewide (Word)
Videoconference Sign-In Sheet for Participants (Word) Revised 5-23-07

Resources for Trainings Held in Portland

Portland Driving Directions, Parking, Public Transit Options, Conference Room Info & Map (pdf)

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:

DHS Service Desk - (503) 945-5623

NetLink Technical Support - (503) 378-5885 x 312 or netlink.netlink@state.or.us

NetLink Resources

Instructions for Online Registration with the DHS Learning Center (Word)
Register for a NetLink training (exit site - enter DHS Training site)
NetLink headset requirements (PDF)
NetLink speaker requirements (PDF)

Vasectomy Materials

General Vasectomy Materials

Vasectomy Client Education Pamphlet - English (PDF)
Vasectomy Client Education Pamphlet - Spanish (PDF)
Sterilization Consent Form - English (PDF)
Sterilization Consent Form - Spanish (PDF)

FPEP Vasectomy Materials

Steps for scheduling & billing a vasectomy under FPEP (PDF)
FPEP Vasectomy Flowchart (PDF)

Title X (Oregon Vasectomy Project) Vasectomy Materials

Oregon Vasectomy Project flowchart (PDF)
Oregon Vasectomy Project Enrollment Form - English (Word)
Oregon Vasectomy Project Enrollment Form - Spanish (Word)
Oregon Vasectomy Project authorization & invoice form (Excel)


For Title X Providers
Title X Tools
Oregon FP Agency Review Schedule (PDF) Family Planning Program Review Tool (PDF) FP Chart Review Tool (PDF) CT Chart Audit Tool (PDF) Expenditure and Income Reporting Form (Excel) 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. 2. Download the audio recordings to your Desktop (see the .nca files below). 3. Go to your Desktop and double-click the ConferencePlayerSetup.exe file to install the player. 4. Open the recording .nca files to play the recordings. October 5, 2007 (nca) October 15, 2007 (nca) October 19, 2007 (nca) October 26, 2007 (nca) October 30, 2007 (nca) November 2, 2007 (nca) November 9, 2007 (nca)
Title X Guidelines
Title X Guidelines (PDF, 116pp, 1.6MB) Region X Infertility Prevention Project [IPP] (Chlamydia Project) Manual (PDF, 18pp, 371K)

Title X Reports
2004 FPAR Summary (pdf)


For FPEP Providers
FPEP Tools
Oregon FPEP Program Manual (PDF, 32pp, 645K) Maximum Reimbursement Rates for FPEP Supplies - Newly revised July 23, 2008 (PDF) Supply Reimbursement Rate Increase Memo - June 19,2008 (PDF) Acquisition Cost Worksheet (PDF) Primary Care Referral Information - English (PDF) Primary Care Referral Information - Spanish (PDF) ICD-9 Codes for FPEP - July 28, 2008 (PDF) Recommended range of family planning methods to be available on-site (PDF) FPEP Visits - Billable or Not? Checklist & Guide (NEW! as of 6/6/07) (Word) FPEP forms Revised FPEP Enrollment Form - English (PDF) - revised 10/26/06 FPEP Enrollment Form - Spanish (PDF) - revised 10/31/06 Revised 2006 CVR Form - effective 11/01/06 New FPEP Oregon Birth Information Form (PDF) - revised 4/8/08 New FPEP SSN Client Handout (English) - effective 11/1/06 New FPEP SSN Client Handout (Spanish) - effective 11/1/06 FPEP citizenship and identity verification resources Client pamphlet (Word or PDF) Client poster (Word or PDF) FPEP citizenship and identity document checklist - revised August 2007 (PDF) How to obtain all citizenship and identity documents (Long Version) (PDF) New Short Where-to-get-Documents List (4-12-07) (Word) New Short Provider script for client notification (4-12-07) (Word) FPEP Affidavit to document citizenship (PDF) FPEP eligibility process flowchart (PDF) FPEP eligibility process training (PDF) - FPEP 10/26/06 NetLink NEW FPEP Flyers to promote enrollment English Flyer 1 (PDF) English Flyer 1a (PDF) English Flyer 2 (PDF) English Flyer 2a (PDF) Spanish Flyer 1 (PDF) Spanish Flyer 1a (PDF) Spanish Flyer 2 (PDF) Spanish Flyer 2a (PDF) You may customize all Word documents with your specific clinic information FPEP Eligibility Changes 2006 — Additional Information Flowchart: Overview of Eligibility Process with One-Time Visits (5-21-07) (PDF) FPEP Eligibility Database Instructions (5-21-2007) (Word) Appendix A: Database Login/Password Request Form (Excel) Appendix B: Family Planning Clinics by Project Number (PDF) Appendix C: FPEP citizenship and identity document checklist (PDF) File format for electronic CVR submissions (PDF) September 26 teleconference minutes (PDF) October 3 teleconference minutes (PDF)


FPEP Administrative Rules
Oregon FPEP Administrative Rules Effective April 23, 2007 (PDF)
How to Become an FPEP Provider
To start the enrollment process, read through the Provider Enrollment Memo (PDF) and the Prospective Provider Packet (PDF) to determine if your clinic can comply with FPEP program requirements. If so, then download and complete these forms: Family Planning Provider Application (PDF) Project/Site Number Request Form (Word) Mail or deliver the completed Application and Project/Site Form to the address on the Application. Next, download and read through the FPEP Manual and FPEP Administrative Rules (PDF)

Page updated: September 23, 2008

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