Reproductive Health and Family Planning

Question: Are you able to share previous grant awardees for the Reproductive Health and Family Planning Grants?

Answer: Previous Title X Grantees include:

Question: For questions 2–6 of the Vendor Application Questions (VAQ), are the Shared Nurse practitioner (NP) services considered a PTE and/or subcontractor?

Answer: No. The Shared NP Consortium would not be considered a PTE and/or subcontractor.

Question: Can I have a single line item for contraceptives with a total, or do you want each type on a separate line?

Answer: For the purposes of this application, you may include contraceptives as a single line item in the budget.

Question: I’m wondering about the budget submission portion of the Title X application. Since we do not yet have an award amount, is it acceptable to submit our current 2026–2027 approved budget?

Answer: You should complete your budget as a reflection of your total program costs, including costs allocated to non-Title X funding. Question 26 on the VAQ is where you input your requested amount of funding. You can base this request on historical expenses and budgets.

Question: I would like to verify that our clinic either is or is not a Provider type 71 (Family Planning Clinic), as we are considering our eligibility for the grant for Reproductive Health and Family Planning Grants. Can you help me understand or find where I would access our eligibility through this status?

Answer: Applicants must have a Provider type 71 designation through Medicaid. You can verify your entities’ designation through your ForwardHealth Portal.

Question: In reviewing the Title X GFO, I am requesting clarification regarding the section “Use of Subcontractors." Our public health agency has been a fiscal agent for non-public health RHFP agencies. Looking at the narrative, can you please clarify which entity would be the vendor, the grantee, the subcontractor, and/or the PTE? I am specifically interested as it relates to statement: "The Grantee will be responsible for its Subcontractors’ performance of the pertinent grant agreement obligations and ensure Subcontractors abide by all terms and conditions of the GFO and resulting grant agreement."

Answer: The Vendor is the entity that applies, if they are awarded funding, they become the Grantee. If the Grantee subcontracts RHFP services, they remain the Grantee but also become a PTE. The subcontractor is the entity that receives funding from the PTE. If the Grantee is subcontracting with another agency that is providing RHFP services, the RHFP program and the Grantee would collaborate to develop a specific scope of work that specifically outlines the RHFP program’s responsibilities and the Grantee’s responsibilities to ensure compliance with the terms and conditions for the grant agreement.

Question: “Is your entity a public entity as defined by Wis. Stat. § 255.06?” Could you clarify if this is the correct reference as Wis. Stat. 255.06 refers to the Well Woman Program and does not provide a specific definition for, “public entity.”

Answer: A public entity is defined through Wis. Stat. § 253.075(5)(a), and is as follows “A public entity includes state, county, and local health departments and health clinics, and the well-woman program under Wis. Stat. § 255.06.”

Question: "Enter the total RHFP operating costs of your entity.” Should this reflect 2025 or 2026 costs? And is this referring only to Title X operating costs, or the full scope of reproductive health funding?

Answer: You may choose any 12-month period that accurately reflects the true operating cost of your RHFP program. You should include all costs related to your program, including costs allocated to other funding streams.

Question: "What is the total grant funding your entity is requesting to continue or establish services without interruptions?” Could you clarify the basis of the RHFP program funding formula (for example, whether it’s determined by community size, service volume, or another factor)? Understanding this will help us determine the appropriate amount to request?

Answer: The RHFP funding formula for Title X is determined through service volume, county-level poverty rates, and county-level STI rates, however, you should request the amount that most accurately reflects your projected costs and ability to provide services.

Question: Should we be writing our grant proposal to the RFA that DHS sent out, or should we be looking at the federal one?

Answer: You should write to the posted Reproductive Health and Family Planning Grants funding opportunity.

To understand your rights, view laws by state. Learn about reproductive laws currently in place in Wisconsin and other states. Information comes from the Center for Reproductive Rights.

If you are pregnant, you should see a health care provider regularly. Don’t delay getting care if:

• You have life-threatening complications of pregnancy, such as:
  • Ectopic pregnancy.
  • Incomplete miscarriage.
  • Incomplete placental delivery.
• You or someone you know tries to end a pregnancy outside of the health care system and suffers complications. Get care right away if this results in infection, prolonged bleeding, or other issues. Note that health care providers must keep what you share with them confidential.
• You have feelings of anxiety, depression, or other mental health concerns. Talk to a provider you trust or call 211 for support.
• You have thoughts of suicide or feel you are in danger. Call 911. There are also crisis lines you can contact by phone or text.

Your primary health care provider or a health clinic may be able to help with:

• Birth control.
• Emergency contraception.
• Intimate partner safety.
• Pregnancy testing and counseling.
• Preventive and primary care services.
• Referrals for follow-up or special care.
• Sexually transmitted disease screening and treatment.

If you don’t already have a provider, these resources can help:

• Title X Clinic Finder—Use the search tool to find a family planning clinic near you. Call a clinic to ask about their hours and specific services.
• Planned Parenthood—Get affordable health care.

All services through Title X are your choice and are private. You can also get them no matter your health insurance status. No one is turned away if they can’t pay. Staff work with you to make sure the services you get are covered. Some people qualify for benefits to help pay for the visit through the Family Planning Only Services Medicaid benefit.

For general questions about health care services in Wisconsin:

• Visit the Well Badger Resource Center.
• Text 608-360-9328.
• Call 800-642-7837.

• Title X Service Grants—Learn about the federal Title X program. It’s administered through the Department of Health and Human Services, Office of Population Affairs.
• 2021 Title X Final Rule—Learn about the updated rule for all Title X family planning programs. The final rule went into effect on Nov. 8, 2021.
• Providing Quality Family Planning Services: Recommendation of CDC and the U.S. Office of Population Affairs (PDF)—Find clinical guidance from the CDC (Centers for Disease Control and Prevention) and the Office of Population Affairs. It’s the foundation of Wisconsin’s RHFP program services.
• Welcome to the Reproductive Health National Training Center—Access resources that ensure Title X staff have the knowledge, skills, and attitudes they need to give high-quality services and programs.

Training

• Mandatory Title X Training—These are required training videos for Title X providers and staff.
• Family Planning ForwardHealth Portal Training Webinar—This video will demonstrates how Title X providers and staff access the ForwardHealth Portal for basic navigation, claims submissions, and trainings.

Resources

• Well Badger Resource Center for Professionals & Partners—Connect to social, health, and government programs in your community.
• DHSRHFP@dhs.wisconsin.gov – Email the RHFP program for more information.

For patient referrals, Planned Parenthood of Wisconsin has a way to search for care.

For patient education materials, view:

• Abortion fact sheet from the World Health Organization
• Abortion with Septic Shock
• FAQ: Safe Abortion Care

For scientific articles on the effects and treatment of unsafe abortions, view:

• The Back Alley Revisited: Sepsis After Attempted Self-Induced Abortion
• Complications of Unsafe and Self-Managed Abortions
• Unsafe Abortion: The Missing Link in Global Efforts to Improve Maternal Health (PDF)
• Unsafe Abortion: The Silent Scourge
• Unsafe Abortion: Unnecessary Maternal Mortality (PDF)

As a health care provider, it’s important to take care of your own mental health. Here are some helpful strategies:

• Watch for signs of burnout and stress. Look out for anything from poor hygiene, depression, irritability, and fatigue to more serious signs. These might include constant worry, startling easily, or frequent nightmares.
• Make time to unwind. Take time every day to do things you enjoy.
• Get support from team members. Set up a buddy system for staff to share concerns, talk about stress, and watch over each other’s safety and well-being.
• Ask for help when you need it. Call the 988 Suicide & Crisis Lifeline or your county crisis line if you feel like you want to hurt yourself or others. You can also text HOPELINE to 741741.
• Find healthy ways to cope with stress. Take breaks from work, eat healthy foods, exercise, and socialize with friends and family. Do not use drugs and alcohol as a way to cope.
• Limit news and social media time. Take phone and computer breaks. Repeated reports and posts about traumatic events can be upsetting.
• Take care of your body. Eat healthy, do some type of regular movement, and get enough sleep.

Learn more through Resilient Wisconsin.