News and Updates Archive
Availability of Long-acting Reversible Contraceptives in Los Angeles County Clinics Through a Medicaid State Plan Amendment Program (December 2018)
Recent research indicated that many family planning clients in California did not have same-day on-site access to long-acting reversible contraceptives.
Family PACT Client Eligibility Verification Issue (October 3, 2018)
The Department of Health Care Services (DHCS) has resolved the issue of using the Family Planning, Access, Care and Treatment (Family PACT) Internet Transaction application to inquire about Family PACT eligibility status. Providers can now use the Internet Transaction application or Automated Eligibility Verification System (AEVS) to verify a Family PACT client’s eligibility.
Select Comprehensive Family Planning Services Policy Update (December 29, 2017)
The Family PACT program will provide time-limited supplemental payments to Family PACT providers for Evaluation and Management (E&M) office visits rendered for comprehensive family planning services for the period of July 1, 2018 through June 30, 2019. These supplemental payments are equal to 150% of the reimbursement amount for procedure codes 99201, 99202, 99203, 99204, 99211, 99212, 99213, and 99214.
Accuracy and Correction of Claims or Payments (October 2017)
Family PACT providers are responsible for all claims submitted, regardless of who completes the claim on behalf of the provider. Family PACT providers are responsible for the review and verification of the accuracy of claims payment information promptly upon the receipt of any payment. The Family PACT provider agrees to seek correction of any claim errors through the appropriate processes as designated by the Department of Health Care Services or its fiscal intermediary (Source: Medi-Cal Provider Manual, Part I and your signed Form DHCS 6153, Medi-Cal Telecommunications Provider and Biller Application/Agreement).
ACA’s Nondiscrimination Policy Applies to Family PACT (August 8, 2017)
Section 1557 of Patient Protection and Affordable Care Act (ACA) prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs or activities. In effect since 2010, Section 1557 builds on long-standing federal civil rights laws: Title VI of the Civil Rights Act of 1964; Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975.
Effective July 18, 2016, the Health and Human Services (HHS) Office for Civil Rights issued its final rule implementing Section 1557 at Title 45 Code of Federal Regulations (CFR) Part 92. The rule applies to any health program or activity, any part of which receives federal financial assistance, an entity established under Title I of the ACA that administers a health program or activity, and HHS. In addition to other requirements, Title 45 CFR Part 92.201, requires:
- Language assistance services requirements. Language assistance services required under paragraph (a) of Part 92.201 must be accurate, timely and provided free of charge, and protect the privacy and independence of the individual with limited English proficiency
- Specific requirements for interpreter and translation services. Subject to paragraph (a) of Part 92.201:
- A covered entity shall offer a qualified interpreter to an individual with limited English proficiency when oral interpretation is a reasonable step to provide meaningful access for that individual with limited English proficiency
- A covered entity shall use a qualified translator when translating written content in paper or electronic form.
For more information about the application and requirements of the final rule implementing Section 1557, providers should contact their representative professional organizations. They may also visit Section 1557 of the Patient Protection and Affordable Care Act page of the HHS website to find sample materials and other resources.