Table 2.

Domains and Topics Identified by Learning Community State Participants

Topics	Webinar or resource
Domain: Training Providers	Georgia provider training toolkit video and other demonstrations Video demonstration of Implanon NXT insertion: www.youtube.com/watch?v=ug7q_1RUMio&feature=youtu.be Video on assembly and use of obstetrical postpartum IUD insertion model: www.youtube.com/watch?v=uMcTsuf8XxQ Nexplanon website for requesting in-person insertion training: www.nexplanon-usa.com/en/hcp/services-and-support/request-training/request-form/index.asp
	Virtual learning sessions Georgia’s statewide experience with LARC provider training on insertion and placement, billing and coding, and experience with stocking supplies at Hospital Pyxis (ASTHO’s LARC Learning Community [LC]): http://astho.adobeconnect.com/p5d8mqbeq37/ Colorado post placental IUD protocol: www.astho.org/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception/Post-placental-IUD-Protocol-Colorad/
Cross-cutting training	LARC LC presentation on South Carolina statewide experience with LARC (Implanon/Nexplanon) insertion, placement, and billing: http://astho.adobeconnect.com/p39113jivt5/
Billing and coding	ACOG LARC Quick Coding Guide: www.acog.org/-/media/Departments/LARC/LARCQuickCodingGuide.pdf
Domain: Pay Streams Title X clinics	CDC Memo for Immediate Postpartum (IPP) LARC provision and Medicaid amendment: http://astho.adobeconnect.com/p4j41puxz36/ Family Planning National Clinical Training Center LARC training: www.ctcfp.org/larc/
Federally qualified health  centers	CMS webinar on alternative payment methods that may encourage the delivery of high quality care to women during and after pregnancy: http://downloads.cms.gov/media/video/2015-03-25_Core_Set_Webcast.wmv
Private insurers	LARC LC presentation on billing and reimbursement (challenges and strategies for Medicaid and private insurers): www.youtube.com/watch?v=W0xjG04guSc&feature=youtu.be
Medicaid	ASTHO Medicaid Policies, Codes, and Guidance web page (listed by state): www.astho.org/Programs/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception-LARC/Medicaid-Policies/ LARC LC launch on state Medicaid background presentations web page: www.astho.org/Programs/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception-LARC/Learning-Community-Presentations/ ACOG resource on Medicaid reimbursement for immediate postpartum LARC: www.acog.org/*/media/Departments/LARC/HMAPostpartumReimbursmentResource.pdf Information on Medicaid reimbursement for postpartum LARC by state: www.acog.org/About-ACOG/ACOG-Departments/Long-Acting-Reversible-Contraception/Coding-and-Reimbursement-for-LARC/Reimbursement-Resources-for-Postpartum-LARC-Initiation/Medicaid-Reimbursement-for-Postpartum-LARC-By-State LARC LC CDC presentation on Medicaid coverage of postpartum LARC and off-label use: http://astho.adobeconnect.com/p4j41puxz36/
Domain: Informed Consent  and Ethical Concerns
Consent	Guttmacher policy review on LARC access and historical injustices, informed consent, and safeguarding against coercion: www.guttmacher.org/pubs/gpr/17/3/gpr170308.html
Ethical concerns	LARC LC CDC presentation on ethical decision making, clinical vs. public health ethics, LARCs, and informed consent: http://astho.adobeconnect.com/p2gbguc9k8z
Informed consent content Domain: Stocking and Supply Pricing	TBD1 University of California, San Francisco stocking guide with information on forecasting patient demand, obtaining and covering the cost of LARC, lower cost supplies (304B), and maintaining LARC inventory: http://larcprogram.ucsf.edu/forecasting
Alternative funding Pharmacy	TBD Health Resources and Services Administration 340B Drug Pricing Program web page: www.hrsa.gov/opa/index.html LARC LC presentation on South Carolina Birth Outcomes Initiative and LARC outpatient white bagging: http://astho.adobeconnect.com/p5twb9gmobh/
Domain: Outreach Provider	ASTHO Provider Education web page: www.astho.org/Programs/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception-LARC/Provider-Education/ ACOG LARC information web page: www.acog.org/About-ACOG/ACOG-Departments/Long-Acting-Reversible-Contraception ACOG newsletter on Georgia’s Medicaid Coverage outlook of immediately postpartum LARCs and implications on providers and hospitals: www.astho.org/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception/Georgia-ACOG-Newsletter/ ACOG Presentation on LARC’s role in reducing unintended pregnancy rates, appropriate candidates for LARC methods, clinical effects, and management strategies for clinical problems and patient concerns: www.acog.org/-/media/Departments/LARC/LARCPresentationFinal.pptx ACOG Practice Bulletin #121 on LARC: www.acog.org/Resources-And-Publications/Practice-Bulletins/Committee-on-Practice-Bulletins-Gynecology/Long-Acting-Reversible-Contraception-Implants-and-Intrauterine-Devices ACOG Committee Opinion #450 on increasing LARC use to reduce unintended pregnancy: www.acog.org/Resources_And_Publications/Committee_Opinions/Committee_on_Gynecologic_Practice/Increasing_Use_of_Contraceptive_ Implants_and_Intrauterine_Devices_To_Reduce_Unintended_Pregnancy ACOG Committee Opinion #539 on adolescents and LARC: www.acog.org/-/media/Committee-Opinions/Committee-on-Adolescent-Health-Care/co539.pdf?dmc=1&ts=20141031T1043106109 CDC MMWR, “Providing Quality Family Planning Services—Recommendations of CDC and the U.S. Office of Population Affairs”: www.cdc.gov/mmwr/pdf/rr/rr6304.pdf CDC MMWR, “Classifications for Intrauterine Devices”: www.cdc.gov/mmwr/preview/mmwrhtml/rr5904a6.htm
Patient	ASTHO Patient Education web page: www.astho.org/Programs/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception-LARC/Patient-Education/ Colorado postpartum IUD patient education sheet: www.astho.org/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception/Post-Placental-IUD-Patient-Education-Colorado/
Policymaker	Fact sheet on the Iowa Initiative to Reduce Unintended Pregnancies five-year demonstration project: www.astho.org/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception/Iowa-Initiative-Fact-Sheet/
Domain: Partnership
Federal agencies	TBD
National organizations	ACOG LARC program presentation: http://astho.adobeconnect.com/p45addbx4gg/
Domain: Service Location
Rural/urbanTelehealth/  Clinics	TBD
Domain: Data
Monitoring and evaluation	Association of Maternal and Child Health Programs economic analysis of return on investment and cost effectiveness of LARCs: www.amchp.org/programsandtopics/data-assessment/Documents/LARCInvestment12-22-14_Final.pdf ASTHO Reducing Unintended Pregnancies in Iowa by Investing in Title X Clinics fact sheet: www.astho.org/Maternal-and-Child-Health/Long-Acting-Reversible-Contraception/Iowa-Initiative-Title-X-Issue-Brief/ Title X Family Planning Services, Training, and Research—Annual Progress Report Guidance: www.hhs.gov/opa/title-x-family-planning/initiatives-and-resources/documents-and-tools/title-x-family-planning-services-annual-progress-report-2015.html
Quality assurance and  improvement	CDC and Office of Population Affairs presentation on revising title X guidelines to improve the quality of family planning services: www.shepscenter.unc.edu/wp-content/uploads/2013/05/New-Standards-of-Care-for-Family-Planning-in-an-Era-of-Increasing-Accountability.pdf
Access	TBD

TBD, or to be determined, indicates an area within a domain where resource materials are not yet available.

ASTHO, Association for State and Territorial Health Officials; IUD, intrauterine device; LARC, long-acting reversible contraceptives.