Get Family Pact Referral Form

A client is not eligible for Family PACT benefits for any of the following reasons: • The client is not a California resident. ‹‹The client has a total taxable family income that is more than 200 percent of the federal poverty guidelines.›› • The client has full-scope Medi-Cal. access their OHC does not exist.

Medi-Cal administers the Family PACT program. Family PACT providers are encouraged to check the Medi-Cal website frequently and sign up for the Medi-Cal Subscription Service to receive updates via email.

Family PACT Program covers urinary tract infections (UTIs) and screening for cervical cancer and pre-invasive cervical lesions for women when the care is provided coincident to a visit for the management of a family planning method.

“Site Certifier” – each service site location must designate one eligible representative to be a site certifier. The site certifier is responsible for overseeing family planning services at the location to be enrolled. A Medical Director, MD, CNP, or CNM is eligible to certify a site.

Family PACT covers the following services: Various birth control methods, including long-acting reversible contraceptives, emergency contraception, and sterilization. Family planning counseling and education. Sexually transmitted infection (STI) testing & treatment.

The HAP concept allows California residents to participate in State-funded special health care programs with one identification card. Providers are furnished with plastic, pre-numbered, teal-colored cards to distribute to clients at the time of their first service so there is no delay in care.