Category: Uncategorized

The Department of Health Care Services (DHCS) will perform a system update to the Family PACT Portal beginning at 10:00 p.m. on Friday, May 2, 2025, through 8:00 p.m. on Sunday, May 4, 2025. During this time, the Family PACT Portal will be 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 service 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 (e.g., Monday, May 5, 2025).

Returning Clients:

• Reaffirm eligibility using a new CEC Form.
• Proceed 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 date of service.

For any questions or assistance, please contact providerservices@dhcs.ca.gov or via phone at 916-650-0414.

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.

Required system upgrades to the California Medicaid Management Information System (CA-MMIS) was originally scheduled to take place on August 18, 2024. It will now take place on August 25, 2024. The upgrade will go into an extended maintenance period, which begins at midnight on Sunday, August 25, 2024, and may continue through 6:00 p.m. Sunday, August 25, 2024.

The following Medi-Cal Providers website applications may experience intermittent issues during this window.

• Single and Multiple Subscriber Eligibility
• Share of Cost
• Medical Reservation Services (Medi-Services)
• Lab Service Reservation
• Family Planning, Access, Care, and Treatment (Family PACT)
• Electronic Treatment Authorization Request (eTAR)

Additionally, the following transactions also may experience intermittent issues.

• Automated Eligibility Verification System (AEVS) transactions
• Point of Service (POS) network eligibility transactions from Core Connectivity, Leased Line vendors and Case Management Information and Payrolling System (CMIPS)

Please return to this System Status page for future updates.

If the above link does not take you to the System Status page, then simply copy and paste the following link into your browser.

https://mcweb.apps.prd.cammis.medi-cal.ca.gov/system-status

Effective July 16, 2024, the Department of Health Care Services has updated the Family Planning, Access, Care, and Treatment (Family PACT) Program’s provider enrollment and responsibilities policy with respect to Site Certifiers role and responsibilities and the Provider Orientation and required trainings for Site Certifiers and practitioners.

Additional information about Provider Enrollment and Responsibilities is available on the Family PACT Provider Enrollment webpage and in the Family PACT Policies, Procedures and Billing Instructions (PPBI) Manual, Provider Enrollment and Responsibilities section.

Effective April 15, 2024, DHCS has expanded the clinicians eligible to be a Family Planning, Access, Care, and Treatment (Family PACT) Program site certifier to include Physician Assistants and has made updates to the required provider training requirements.

Additional information about Provider Enrollment and Responsibilities is available on the Family PACT Provider Enrollment webpage and in the Family PACT Policies, Procedures and Billing Instructions (PPBI) Manual, Provider Enrollment and Responsibilities section. 

Effective for dates of service on or after April 1, 2024, providers are to use the following income guidelines when determining recipient eligibility for the Family PACT Program.

Federal Income Guidelines

200 Percent of Poverty by Family Size

Effective April 1, 2024

Number of Persons in Family/Household	Monthly Income	Annual Income
1	$2,510	$30,120
2	$3,407	$40,880
3	$4,303	$51,640
4	$5,200	$62,400
5	$6,097	$73,160
6	$6,993	$83,920
7	$7,890	$94,680
8	$8,787	$105,440
For each additional member, add:	$897	$10,760

The Department of Health Care Services (DHCS) would like to inform pharmacy providers and prescribers about the addition of over-the-counter (OTC) oral contraceptive, Opill® (norgestrel 0.075 mg). This update will be reflected in the April 1, 2024, publication of the Medi-Cal Rx Family PACT Pharmacy Formulary.

Please refer to the Medi-Cal Pharmacy Bulletin for additional information.

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!

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.

The Office of Family Planning would like to remind providers that per California Welfare and Institutions Code (W&I Code) section 24005, subdivision (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.