The development of family planning services is considered one of the ten greatest achievements in public health in the United States (US) during the 20th century, enabling women to improve birth spacing and control family size. Arkansas Medicaid has expanded eligibility for family planning services to women of childbearing age with income at or below 200% of the federal poverty level (FPL). This paper describes the impact the family planning waiver has had on birth-related and economic outcomes. It also provides information that every physician should know regarding scope of services, client eligibility and provider enrollment.