The Kentucky Cabinet for Health and Family Services (CHFS), Department for Public Health (DPH), Division of Women?s Health (DWH) is applying for the Family Planning Services Grant and requesting $5,200,000 to continue to provide quality family planning services to all persons desiring such services in Kentucky. Title X quality family planning services and program sustainability continue to be the focus of the Family Planning Program (FPP) in Kentucky.Kentucky DPH has been a Title X grantee since 1972. Family planning is an important public health service in the Kentucky. Local Health Departments (LHDs), present in every Kentucky county, are encourage to provide family planning services either directly in their facility or indirectly through formal partnerships with local providers, including federally qualified health centers (FQHCs). LHDs are often the sole source provider for family planning services, especially in the 45 counties in Kentucky without a FQHC. Title X funds will be allocated to 57 LHDs and three other sub recipients with this grant, providing immediate services in 110 of the 120 counties in Kentucky. The FPP will work to contract with the FQHCs and look-alike providers in the 10 counties not immediately covered with grant funds. The mission of the FPP and the State Family Planning Advisory group is ?Assure the delivery of quality family planning services, effectively utilize resources and improve measureable health outcomes specific to reproductive health?. Kentucky?s Five A?s of Reproductive Health are Awareness, Acceptance, Assurance, Access and Action. Calendar year 2017 Family Planning Annual Report (FPAR) data reflects that Kentucky served 50,412 unduplicated users; 42,197 were female and 8,215 were male. Eighty-three percent of the clients were 150 % or below the federal poverty level (FPL). The FPP assures compliance with the Title X Requirements and related federal and state regulations, including encouragem
ent of family participation in the family planning decisions of all clients, including teenagers, and counseling teenagers on how to resist coercion and encouraging delay of sexual activity. Kentucky?s Title X funded clinics offer a broad range of family planning methods, including fertility awareness methods, and other family planning services including preventive health services. LHDs collaborate with local providers to provide preventive and other health services to clients if they are unable to provide the service at their site. Abortion services are never provided at Kentucky?s Title X funded clinics. Sustainability is a primary goal for the Kentucky FPP. The FPP is sustaining family planning and reproductive health services through:?Assuring Memorandums of Agreement (MOAs) are in place for all sub-recipients, including Local Health Departments (LHDs). LHDs will have the ability to provide family planning services directly or will have an approved contract (formal linkage) in place with a FQHC or other provider in their county to provide family planning services that are compliant with Title X Program Requirements.?The FPP will contact FQHCs across the state to explore the possibility for collaboration of efforts to provide family planning services in their communities and thus increase the number of clients served throughout the state.?LHDs will report increased revenue from Medicaid and other third party payers due to improved billing and coding procedures. The Kentucky FPP, as a recipient of Title X funds, has been able to provide quality family planning services to the women, men and teens of our state for over 45 years. We appreciate the opportunity to apply for this funding and look forward to continuing our relationship with OPA. Kentucky is excited about the future and our ability to enhance our family planning program and better meet the family planning needs of Kentucky?s citizens.