User Guide — Title X Family Planning Form

athenaClinicals

If your practice receives Title X funds, you can use the Title X Family Planning form in the Clinical Add-Ons section to mark an encounter as a Title X-qualifying family planning encounter. Use the form to document the additional information required to submit the Title X Family Planning Annual Report (FPAR).

  1. While documenting a Title X encounter, click the Billing tab on the right side of the page in the Sign-Off stage.
  2. In the Clinical Add-Ons section, select the Title X Family Planning option.

  3. Under Title X Family Planning, enter the patient's information.
    This action marks the encounter as a Title X-qualifying encounter, and the patient as a Title X patient.

 

 

Title X is a federal program that grants funds for the provision of family planning and related preventive health services. Title X grantees must offer a sliding fee program, give priority in the provision of services to low-income patients, and provide a broad range of family planning services and counseling.

 

All Title X grantees must submit the Family Planning Annual Report (FPAR) annually to the Office of Family Planning in the Office of Population Affairs (OPA) to report on program performance. The submitted values are not directly tied to reimbursement, but OPA uses this data to ensure that grantees are following Title X guidelines and to inform financial and strategic decisions related to the program.

 

As part of the FPAR, your practice must submit data such as patients' demographic information, insurance status, and clinical tests performed and results received.

 

By using a service type add-on, your practice can indicate which encounters qualify for Title X and therefore should be included in related reports.

 

 

 

 

OPA defines FPAR 2.0 as the next iteration of FPAR data reporting.

  • FPAR 2.0 reports collect data at the encounter level.
  • Prior to this, data was aggregated at the clinic or practice level.
  • FPAR 2.0 also requires additional or revised data elements. A variety of facility, provider, patient demographic, patient insurance and clinical related data elements must be captured and included in the report.
  • This more granular reporting improves data collection, reporting, and analysis. Cumulatively, this allows more opportunities to improve service delivery.

  • In February of 2023, grantees will report encounter-level data for the first time.

 

 

Some FPAR 2.0 clinical data elements are captured in the Social History section of the encounter, not in the Title X Family Planning Clinical Add-On. To document these data elements, turn on the related questions in the Relationships and Sexuality global template on the Social History Global Templates page.

 

Social History question FPAR 2.0 data element Available for
What is your pregnancy status? Pregnancy Status Female patients age 13 and older
Do you have any future plans to get pregnant? Pregnancy Intention Female patients age 13 and older
What contraceptive method was reported at the start of this visit? Contraceptive method at intake reported - at intake All patients age 13 and older
What is your reason for having no contraceptive method at the start of this visit? Reason for no contraceptive method use reported - at intake All patients age 13 and older
What contraceptive method was reported at end of this visit? Contraceptive method at exit reported - at exit All patients age 13 and older
What is your reason for having no contraceptive method at end of visit? Reason for no contraceptive method use reported - at exit All patients age 13 and older
How was the contraceptive method provided? How contraceptive method was provided All patients age 13 and older
Was contraceptive counseling provided? Contraceptive counseling was provided All patients age 13 and older
Was counseling provided to achieve pregnancy? Counseling to achieve pregnancy was provided Female patients age 13 and older
Do you want to talk about contraception or pregnancy prevention during your visit today? Do you want to talk about contraception or pregnancy prevention during your visit today All patients age 13 and older

 

The Tobacco Smoking Status data element can be captured using existing questions in the Substance Use global template.

 

If your practice previously documented contraception-related information in GYN History, review your GYN History configuration to avoid double documentation. In Configure GYN History, you can remove the Current Birth Control Method and Birth Control at End of Visit questions from the OB/GYN History section.

 

 

The Report Library includes several reports to collect athenaOne data to include in your FPAR Title X reporting. These reports are listed on the "Other" tab of the Report Library, labeled with "(FPAR 2.0) Title X" before the report name.

 

These reports provide access to relevant encounter level data captured in athenaOne to complete report submission per the FPAR 2.0 specifications, but athena cannot guarantee that all FPAR 2.0 data will be available for each encounter.

 

The data captured in athenaOne can be exported so that any data transformations can be completed as needed.

 

 

  1. Collect the athenaOne data by running the "(FPAR 2.0) Title X" reports in the Report Library.
  2. Compile the data from all the reports in a spreadsheet.
  3. Review and finalize the data as needed (some of the clinical report data may need to be interpreted).
  4. Save the compiled report data into a single .CSV file which can be submitted to OPA.

 

 

 

 

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