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Immediate Postpartum Long-Acting Reversible Contraception (IPLARC)






52%

The percentage of Illinois pregnancies that are unintended.

29%

The percentage of pregnancies that occurred prior to the recommended health prenancy spacing interval of 18 months after delivery.

2015

The year Illinois Medicaid announced that Immediate Postpartum Long-Acting Reversible Contraception was reimbursable outside the delivery bundle.

40%

The percentage of births that take place in an Illinois hospital participating in the IPLARC initiative.
Clinical Quick Start Resources
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Expanding access to highly effective contraception

Long-acting reversible contracptive (LARC) methods, including intrauterine devices and contraceptive implants, are not only safe – they are the most effective form of reversible contraception. Several women’s health and physician organizations, including the American College of Obstetricians and Gynecologists (ACOG), support the expansion of access to LARCs immediately after delivery. ILPQC in 2018 deployed a statewide initiative to increase use of ACOG guidelines and support hospital-based teams to develop the capacity and resources to offer IPLARC

Initiative Aim and Outcome

Aim: Within 9 months of initiative start, >= 75% of participating hospitals will be providing immediate postpartum LARC.

Objectives:

  • 1.
    Patients receive comprehensive contraceptive counseling, including the option of IPLARC, prenatally and during the delivery admission.
  • 2.
    Patients who desire and are eligible for IPLARC receive it.
  • 3.
    Billing is facilitated and reimbursement is received.
  • 4.
    Providers and staff, including new hires, receive ongoing IPLARC education.

IPLARC Clinical Leadership

  • Ann Borders
  • Shelly Tien
  • Kai Tao
  • Steve Locher

Webinars

Additional Resources

*New Provider Notice Inpatient Delivery Claims Containing LARC Device Codes (3.19.21) 

Beyond the Pill at UCSF Bixby Center Educational Materials Free Resources: 

Chart showing contraceptive options by tiers of effectiveness, including a graphic showing the chances of an accidental pregnancy. Available formats: laminated chart, tear sheet pad, and poster. Order from here. 

Available in the following languages:

Options for reporting issues with Medicaid MCO billing:

  1. New Mechanism for Handling Issues with Medicaid MCOs- report IPLARC billing issues here.
  2. Report issues with Medicaid MCO claims to ICOY by using this form here.

Review and complete the IPLARC Sustainability Plan with your team and submit to info@ilpqc.org by April 27 to be eligible for an award at the 202 Face-to-Face Meeting.

IPLARC Data Form now LIVE on ILPQC Data System. Paper IPLARC Data Form available here – updated 3/15/19. Sustainability Data Form available here – updated 8/14/19.

IPLARC Billing/Coding Tip Sheet – this document will be updated periodically as new information is learned/becomes available. Please check back often (updated 11/21/19).

IPLARC Fact Sheet – share this document with administrators, providers, and staff!

**NEW RESOURCE** Packet to share with all OB Providers/Outpatient Prenatal Care Sites and Template for Flyer/Draft Letter Announcing IPLARC Go Live! (updated 2/8/19)

IPLARC Grand Rounds Slide Deck – download here! (updated 8/16/2019)

Toolkit

**Key Resource
The following material is an example only and not meant to be prescriptive. The resources provided in this toolkit are for informational purposes only. The exclusion of a resource, program, or website does not reflect the quality of that resource, program or website. Note: websites and URLs are subject to change.