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LARC Services Reimbursement Form

This tool helps health center teams review revenue realized for a sample of claims submitted for LARC (long-acting reversible contraceptives) services.

Author

CAI’s Contraceptive Action Plan, a project administered by CAI from 2013 – 2022

Audience

Health center staff

Year published or last revised

2018

View or download form

LARC Services Reimbursement Form (310 KB PDF)