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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:
Patient Choice of Telehealth Modality; and
Right to In-Person Services
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, if desired or clinically appropriate. These options ensure that Family PACT clients can select the most suitable modality for accessing their Family PACT benefits and services based upon individualized preferences, needs and circumstances. For more information, please review the Family PACT Program’s Policies, Procedures and Billing Instructions (PPBI) manual, Benefits: Clinical Services Overview section.
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.
Please note that providers should periodically check the Family PACT Portal in case the outage ends early. For any questions or assistance, please contact providerservices@dhcs.ca.gov or via phone at 916-650-0414.
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.
Please note that providers should periodically check the Family PACT Portal in case the outage ends early. For any questions or assistance, please contact providerservices@dhcs.ca.gov or via phone at 916-650-0414.
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.
Clinical trial data (NCT04626596) showed zero pregnancies during years 4–5 and no new safety concerns across BMI ranges of 17.2 to 64.3 kg/m², including 38% with BMI ≥30 kg/m².
All clinicians performing Nexplanon insertions or removals must now complete FDA-required Risk Evaluation and Mitigation Strategy (REMS) certification.
Clinical Note:
In 2018, the insertion location changed from the sulcus between the biceps and the triceps muscles to the current insertion site, which is 3-5 cm posterior to (below) the sulcus. This decreases the risk of migration and neurovascular injury. This 2026 label change does not change the recommended insertion location. [See “Insertion Procedure” on page 5 of the Full Prescribing Information.]
Requirements of the Nexplanon REMS program include:
Healthcare providers must certify with the program by enrolling and completing training on the proper insertion and removal of Nexplanon prior to first use.
Wholesalers and distributors must be registered with the program and must only distribute to certified pharmacies and certified healthcare providers.
Instructions for providers to enroll and certify in the REMS program:
Following review of the updated Prescribing Information and Healthcare Provider Guide, providers are to create a Nexplanon REMS account, take a Knowledge Assessment, and complete an Enrollment Form to obtain REMS certification.
The REMS enrollment period is February 23, 2026 through August, 23, 2026.
Providers who do not enroll during this time period will not be able to purchase Nexplanon after the end of this 6-month certification period.
Providers who have not been previously trained by Organon – or those who did not complete the 2018 re-training – can visit the Nexplanon REMS website to enroll in the REMS program and receive information on the required training.
All health care providers must receive instruction and training prior to performing insertion and/or removal of Nexplanon.
Family PACT Providers are required to offer the Nexplanon contraceptive implant onsite. Each site enrolled in the Family PACT Program must identify, at a minimum, one practitioner trained to provide Long-Acting Reversible Contraception (LARC) services – including insertion and removal of the contraceptive implant – onsite. See Family PACT Policies, Procedures and Billing Instructions Manual (PPBI), Section Provider Enrollment and Responsibilities page 5.
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 ensure uninterrupted services during the outage, providers will need to initiate downtime procedures.
Downtime Procedures for Family PACT Providers:
New Clients:
Complete the CEC Form to determine eligibility.
If eligible, proceed with the visit under the Family PACT Program.
Submit the client’s enrollment in the Family PACT Portal as soon as possible once access is restored.
Returning Clients:
Reaffirm eligibility using a new CEC Form.
Proceeds with the scheduled visit.
For clients seen during the downtime period, providers must contact the Office of Family Planning (OFP) to back-date enrollment to the date of service.
Please note that providers should periodically check the Family PACT Portal in case the outage ends early.
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.
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 Enrollment and Responsibilities section of the Policies, Procedures and Billing Instructions Manual.
What Has Changed:
Each DHCS 4475 allows the site certifier to designate one additional service location – in addition to their main location – per form.
Provider must submit a DHCS 4475 for each additional service location.
Additional supporting documentation is now required with each submission.
The form has been updated with new instructions explaining how to complete and submit the request for multiple locations (up to 10).
Providers planning to designate one certifier to oversee multiple service locations (up to 10) must:
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 Responsibilities section.
Additional manual updates include:
clarification that Family PACT providers must ensure client access to comprehensive family planning services on the same day eligibility is determined,
clarification that Family PACT providers must inform clients that their Health Access Program Identification Numbers are valid at any Family PACT provider location, and
minor edits throughout to clarify language and correct general terminology.
The Family PACT Portal will be updated to reflect these changes. These updates serve as user functionality enhancements, focusing on expanding Site Certifier and Provider Staff site location limitations while adding more flexibility when editing or changing accounts.
These enhancements:
Site Certifiers will be able to navigate and switch to multiple site locations that they are associated with on the Access Management Dashboard.
Site Certifiers and Provider Staff can be associated with multiple site locations that can be viewed when creating an account or in account settings.
Site Certifiers will be able to edit, resend, revoke, disassociate, and deactivate other Privileged Staff and Provider Staff accounts.
Site Certifiers capabilities can be granted to Provider Staff at the same site location making them Privileged Provider Staff.
Notifications will be sent to active Site Certifiers when site locations are associated/disassociated and to Provider Staff when entitlements are granted/removed.
Site Certifiers and Provider Staff will be able to designate the site location they’re working from.
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 may also elect to use this updated billing policy to correct and resubmit previously denied claims as described in the CIF Submission and Timeliness Instructions section of the Provider Manual.
Effective January 13, 2025, HAP cards will no longer be provided by the FI.
HAP Identification:
HAP cards are now digitized and can be accessed and printed directly from the user’s Family PACT account via the Family PACT portal. The number can be printed or shown electronically on a mobile device when visiting a provider. Providers can print the card for the client, or the client may print it themselves.
Returning Unused HAP Cards:
Providers are responsible for returning any unused numbered HAP cards to the Fiscal Intermediary (FI) as soon as possible.
To return unused HAP cards:
Package the unused numbered HAP cards with a cover letter that includes your provider number or National Provider Identifier (NPI) used to order the cards.
Mail the package via UPS or a similar service to the following address:
California MMIS Fiscal Intermediary Attn: Print and Distribution Center 830 Stillwater Road West Sacramento, CA 95605
Accessing the New CalHEERS Family PACT Portal:
To access the Family PACT portal, providers must ensure the most current site certifier contact information is updated in PAVE to receive login credentials.
If a site certifier is not in PAVE, send the site certifier information (practitioner NPI, first and last name, email address) to providerservices@dhcs.ca.gov
Note: Even if the site certifier information is sent via email, you are still required to update PAVE with the most current site certifier information.
Moving Forward:
On February 3, 2025, all Family PACT client enrollment activities, including changes and deactivations, will be completed exclusively through the Family PACT portal.
