Family PACT

The Department of Health Care Services (DHCS) published revisions to the telehealth policy for the Family PACT Program. The policy has been updated to include: Providers who offer Family PACT covered benefits and services via telehealth modalities must offer Family PACT clients the choice between telehealth modalities and the ability to opt for in-person services,…

The Department of Health Care Services (DHCS) will perform a system update to the Family PACT Portal beginning on 10:00 p.m. on Friday, April 17 through Sunday, April 19, 2026. During this time, the Family PACT Portal will be unavailable to clients, providers, and DHCS staff. Providers affected by this outage should continue determining eligibility using the Client Eligibility…

The Department of Health Care Services (DHCS) will perform a system update to the Family PACT Portal beginning on 10:00 p.m. Friday, April 3 through Sunday, April 5, 2026. During this time, the Family PACT Portal will be unavailable to clients, providers, and DHCS staff. Providers affected by this outage should continue determining eligibility using the Client Eligibility Certification…

Effective January 16, 2026, the U.S. Food and Drug Administration (FDA) has approved the Supplemental New Drug Application (sNDA) for Nexplanon (68 mg etonogestrel implant), extending its approved use from 3 years to up to 5 years for pregnancy prevention. All clinicians performing Nexplanon insertions or removals must now complete FDA-required Risk Evaluation and Mitigation Strategy (REMS) certification.…

The Department of Health Care Services (DHCS) periodically performs system updates to the Family PACT Portal. During these maintenance periods, the portal may be temporarily unavailable to clients, providers, and DHCS staff. Providers affected by this outage should continue enrolling and reaffirming clients using the Client Eligibility Certification (CEC) paper form and provide services as usual. To…

Providers are required to reaffirm client eligibility during each visit to confirm a client’s current eligibility status has not changed, as stated in the Family PACT Policies, Procedures and Billing Instructions Manual (PPBI); Client Eligibility (client elig) section. Follow these steps to reaffirm client eligibility on the Family PACT Portal.

On February 10, 2026, the Department of Health Care Services (DHCS) Office of Family Planning published the updated version of the Site Certifier for Multiple Service Locations Declaration (DHCS 4475). This form is used to request DHCS approval for one site certifier to oversee up to 10 service locations for designated clinic types specified in the Provider…

On October 16, 2025, the Department of Health Care Services published updated policy to the Family Planning, Access, Care, and Treatment (Family PACT) program implementing Senate Bill 1131, allowing one site certifier to oversee up to ten service locations for the designated clinic types specified in Family PACT Policies, Procedures, and Billing Instructions Manual, Provider Enrollment and…

An Erroneous Payment Correction (EPC) will be implemented to reprocess denied claims with dates of service on or after the effective date of this billing policy, that were appropriately submitted based on the guidance published in this article, but erroneously denied because Medi-Cal had not yet implemented the system changes to support appropriate adjudication. Providers…

What You Need to Know: California MMIS Fiscal IntermediaryAttn: Print and Distribution Center830 Stillwater RoadWest Sacramento, CA 95605 Moving Forward: For any questions or assistance, please contact providerservices@dhcs.ca.gov.