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Welcome to 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 OFP administers the Family Planning, Access, Care, and Treatment (Family PACT) program. Family PACT is California’s innovative approach to provide comprehensive family planning services to eligible low income (under 200% federal poverty level) men and women. Family PACT serves 1.8 million income eligible men and women of childbearing age through a network of 2,200 public and private providers. Services include comprehensive education, assistance, and services relating to family planning.
Depo Medroxy Progesterone Acetate (DMPA) billing:
The Family PACT program covers DMPA 150mg for contraceptive use. HCPCS code J1050 represents DMPA 1mg. For DMPA 150mg for contraceptive use, providers must bill 150 units for J1050.
The price of $4.68 listed in the Medi-Cal Rates Table on the Medi-Cal website for J1050 includes a one-time administration fee of $4.46. Since the administration fee is paid only once for each drug administered, subsequent units claimed must have the administration fee subtracted from the published rate.
J1050 billed with 150 quantity = $4.68 - $4.46 = .22cents per unit X 150units = $33.00 + $4.46 = $37.46.
The Department of Health Care Services is working on the issue to resolve the unit billing limitation on UB -04 claim form. Providers are advised to keep their claims timely.
Due to changes in federal and state laws, Medi-Cal has expanded who may be eligible for health care coverage.
Covered California is your one-stop-shop for affordable health care coverage and offers financial assistance on a sliding scale that will reduce your costs. You may also be eligible for free coverage through Medi-Cal. Explore today to see if you qualify for coverage through Covered California's marketplace that offers health insurance at competitive rates. Use the Covered California button for more information about health coverage.
DHCS has launched its Welltopia Facebook page!
The Department of Health Care Services is pleased to announce its presence in the social media world. Find great tips about nutrition, physical activity, quitting smoking, melting away stress, and more!