Family Planning, Access, Care, and Treatment
Providing comprehensive family planning services to eligible California residents
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 women and men a means by which they decide for themselves the number, timing, and spacing of their children.
The Family Planning, Access, Care, and Treatment (Family PACT) Program is administered by the California Department of Health Care Services, OFP and has been operating since 1997 to provide family planning and reproductive health services at no cost to California’s low-income (under 200% federal poverty level) residents of reproductive age. The program offers comprehensive family planning services, including contraception, pregnancy testing, and sterilization, as well as sexually transmitted infection testing and limited cancer screening services.
News and Updates
Department of Health Care Services Expands Adult Full Scope Medi-Cal for Qualifying Individuals Ages 26 through 49
Medi-Cal is changing its rules so more people can get covered. Starting January 1, 2024, more adults will be eligible for full Medi-Cal benefits. Immigration status doesn’t matter. Even if you’ve been denied full Medi-Cal recently, you could be eligible now. Learn more about the rule changes and apply today at GetMedi-CalCoverage.dhcs.ca.gov!
Upcoming Policy Updates
DHCS would like to make providers aware of the following upcoming policy updates for the Family PACT and/or Medi-Cal family planning programs. As these policies are developed and implemented in the system, they will be announced in the Family PACT News Update, Family PACT Bulletins, and Medi-Cal Update Bulletins, as applicable.
- Various updates to the Family PACT laboratory services policy.
- Family PACT policy update to allow for billing of Evaluation and Management codes 99204 and 99214 for males without restrictions.
- Addition of nitrofurantoin as a clinic benefit for the Family PACT and Medi-Cal family planning programs.
In-Person Comprehensive IUD & Contraceptive Implant Insertion Training
In collaboration with Bayer (Mirena, Kylenna, Skyla), Allergan/Medicines 360 (Liletta), CooperSurgical (Paragard) and Organon (Nexplanon), DHCS offers trainings to prepare providers to offer and provide both intrauterine devices (IUDs) and contraceptive implant services. These trainings are intended for Medi-Cal/Family PACT enrolled providers, Medical Doctors, Nurse Practitioners, Physician Assistants, Certified Nurse Midwives, and Physicians. For registration information, please visit the Learning Management System (LMS) webpage.
Update to the Transition to New CalHEERS Family PACT Portal
The Family PACT client eligibility and enrollment transaction services will transition from the Health Access Programs Client Eligibility System to the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS), Family PACT portal in early 2025. Updates regarding the implementation of CalHEERS Family PACT portal will be published in future bulletins.
Non-Billing for One Year
The Office of Family Planning would like to remind providers that per W&I code, Section 24005 (i)(3): “The department shall deactivate,… the provider numbers used by a provider to obtain reimbursement from the program when… a provider has not submitted a claim for reimbursement from the program for one year…” Beginning in September, letters will be mailed to providers who did not submit a claim for reimbursement from the program from January 1, 2022 through July 1, 2023, to notify them of their impending deactivation from the Family PACT Program for non-billing. Providers receiving these letters will have 30 days to respond prior to being deactivated from the Family PACT Program.
Family PACT Program Regulations
DHCS anticipates that proposed Family PACT regulations will be on the rulemaking calendar for 2025. For more information on DHCS rulemaking process, please visit DHCS’ Office of Regulations webpage.
California's Reproductive Health Access Demonstration (CalRHAD)
On June 8, DHCS submitted a new demonstration project under Section 1115 of the Social Security Act, entitled California’s Reproductive Health Access Demonstration (CalRHAD), to the Centers for Medicare & Medicaid Services. This demonstration will play a key role in advancing California’s progress in providing access to comprehensive sexual and reproductive health services for individuals enrolled in Medi-Cal and other individuals who need access to quality, affordable care.
Visit DHCS CalRHAD Webpage for more information.
New DHCS Brand and Logos
DHCS has been working to implement several initiatives to transform Medi-Cal and improve the state’s Medi-Cal program. These historic changes are already making a difference in the lives of Medi-Cal members. With new and improved services, this major transformation will provide Medi-Cal members with access to well-rounded care that goes beyond the doctor’s office or hospital and addresses their physical and emotional needs.
The Medi-Cal transformation aims to create a more coordinated, person-centered, and equitable health system that works for everyone, inclusive of race, ethnicity, gender identity, sexual orientation, disability, language, immigration status, where you live or your health needs.
To better symbolize this important time, DHCS introduced new branding for Medi-Cal and other programs, including Family PACT.
In addition, as part of DHCS’ efforts to provide improved services, DHCS launched an update to the Medi-Cal Providers website, which includes:
- A redesigned branding of the website, which will offer improved aesthetics, functionality and ease of use.
- An improved Publications area of the website to assist providers in finding the information they need.
- Providers will now be able to choose categories from News articles and other site content, allowing access to similarly categorized information more efficiently.
The references page will now feature all references with categories, including frequently asked questions (FAQs) from across the site, making it easier to locate relevant inform
Keeping Your Community Covered
Implementing the Next Steps for the End of the Continuous Coverage Requirement
The COVID-19 public health emergency ended, and about 15 million Medi-Cal members will need to renew their Medi-Cal during the next year. DHCS’ top goal is to minimize Medi-Cal member burden and support continuity of coverage and access to equitable, coordinated care.
How You as a Community Member Can Help
- Sign up and Become a DHCS Coverage Ambassador
AS a DHCS coverage Ambassador, you and/or your organization are committing outreach to Medi-Cal members in culturally and linguistically appropriate ways. DHCS will provide resources to help connect Medi-Cal members in your community with targeted and impactful information. You will be empowered to:
- Educate: Raise awareness of actions Medi-Cal members need to take, and when they need to take them to maintain coverage
- Engage: Provide community partners with the necessary tools/resources for reaching members. When requested, provide feedback on outreach materials and Medi-Cal member notifications.
- Provide Consistency: Create a consistent voice across community partners, one message that alleviates confusion among Medi-Cal members.
- Raise Awareness and Keep Your Community Covered
If you cannot commit to being a DHCS Coverage Ambassador, you can still use and share the resources we have created to inform Medi-Cal members about the eligibility renewal process.
For more information, visit DHCS website.
Upcoming Trainings and Events
- February 8, 2024
- April 11, 2024
- June 20, 2024
- August 8, 2024
- October 10, 2024
- December 12, 2024
Visit the Learning Management System (LMS) webpage for registration information.
Comprehensive IUD and Implant Insertion Trainings
Trainings are currently on hold. We will let you know when trainings resume.
Check back for upcoming webinars.
You can view our archived webinars here.