Am I Eligible for Family PACT?
Family PACT covers the family planning needs of California residents who are low income and who have no other source of coverage. Learn if you are eligible for Family PACT.
To stay informed with the latest available information on the COVID-19 developments and how it impacts Family PACT providers, please visit Family PACT’s COVID-19 page
About The Office of Family Planning and Family PACT
The Office of Family Planning (OFP) is charged by the California Legislature “to make available to citizens of the State who are of childbearing age comprehensive medical knowledge, assistance, and services relating to the planning of families”. The purpose of family planning is to provide people a means by which they can decide for themselves the number, timing, and spacing of their children.
OFP administers the Family Planning, Access, Care, and Treatment (Family PACT) program. Family PACT is California’s innovative approach to provide comprehensive family planning services to eligible low-income (under 200% federal poverty level) residents. Family PACT serves 1.1 million income-eligible Californians of childbearing age through a network of 2,200 public and private providers. Services include comprehensive education, assistance, and services relating to family planning.
News and Updates
COVID-19 Vaccine Administration Claims Update
“Providers Holding Submissions of Claims for COVID-19 Vaccine Administration May Now Submit” article published in the News area and on the COVID-19 Medi-Cal Response page of the Medi-Cal website.
“COVID-19 Vaccine Administration: Specific Groups Advised to Hold Claim Submission” article updated in the News area of the Medi-Cal website.
State Seeks Coverage Ambassadors to Reach Medi-Cal Beneficiaries in Culturally and Linguistically Appropriate Ways
California is launching a statewide effort to help Medi-Cal beneficiaries keep their Medi-Cal coverage or be enrolled in other coverage.
During the national public health emergency (PHE), the annual reevaluation of ongoing eligibility was temporarily paused to ensure vulnerable Californians had ongoing access to health coverage. When the PHE ends, the state will resume normal Medi-Cal eligibility operations and the annual eligibility review. As a result of that process, two to three million beneficiaries could no longer be eligible for Medi-Cal. The state, along with its partners, are engaging in a comprehensive campaign to reach beneficiaries with information about what to expect and what they need to do to keep their health coverage.
DHCS has launched a customizable Medi-Cal Continuous Coverage toolkit and webpage to help trusted entities and individuals act as DHCS Coverage Ambassadors to push communications to Medi-Cal beneficiaries to encourage them to update their contact information with their counties to ensure they receive important information about keeping their Medi-Cal coverage.
Our primary goals through the DHCS Coverage Ambassador campaign are to help our beneficiaries keep their current Medi-Cal coverage, get free or low-cost coverage from Covered California or other government programs, or transition to their employer-sponsored health coverage.
The eligibility redeterminations will be conducted by counties based upon a beneficiary’s next annual renewal date (done on a rolling basis and not all at once). Before the PHE, California would review information provided by beneficiaries annually and renew their coverage if they still qualified. When the COVID-19 continuous coverage requirement expires at the end of the PHE, California will need to conduct a full redetermination for all beneficiaries. States will have up to 12 months, plus two additional months due to renewal processing policies, to return to normal eligibility and enrollment operations, which includes conducting a full renewal for all individuals enrolled in Medi-Cal and CHIP.
DHCS will shift the focus of the campaign 60 days prior to the end of the COVID-19 PHE and will encourage beneficiaries to report any changes in their personal circumstances, and check their mail for upcoming renewal packets, should the county be unable to complete the renewal using information already available to them without having to contact the beneficiary.
Updated toolkits will be posted on the DHCS website and be distributed to people who signed up to serve as DHCS Coverage Ambassadors. DHCS encourages everyone to join the mailing list to receive the latest information and updated toolkits.
As additional toolkits or resources become available, DHCS will also email critical updates to keep DHCS Coverage Ambassadors informed so they can spread the word to their community.
Erroneous Family PACT Denials for Same Day Billing of Evaluation and Management and Education and Counseling Codes (October 8, 2021)
The February 2021 Family PACT Update notified providers of updates to Healthcare Common Procedure Coding System (HCPCS) codes for Quarter 1 of 2021. This update included several changes to Evaluation and Management (E&M) billing and coding, including allowing Education and Counseling (E&C) codes 99401 through 99403 with modifier U6 to be billed with E&M codes 99202 through 99204 and 99212 through 99214 on the same date of service.
The Department of Health Care Services (DHCS) is aware of claim denials occurring when providers attempt to bill an E&M code with an E&C code on the same date of service and is actively working on a solution. Further guidance will be provided in a future Family PACT Update.