Family PACT Update

December 2018 | Bulletin 135

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1. Provider Enrollment Policy for the Family PACT Program

Policy regarding provider enrollment in the Family Planning, Access, Care and Treatment (Family PACT) Program is clarified in the Provider Enrollment section of the Family PACT Policies, Procedures and Billing Instructions.

This information is reflected in the following provider manual(s):

Provider Manual(s) Page(s) Updated
Family PACT prov enroll (1, 3–8, 10, 11)
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2. Deactivation of Non-Participating Family PACT Providers

Effective January 1, 2019, the Family Planning, Access, Care and Treatment (Family PACT) Program is deactivating providers who have not submitted a claim for Family PACT services for one year. Pursuant to Welfare and Institutions Code (W&I Code), Section 24005(i)(3):

Deactivation from the Family PACT Program does not affect Medi-Cal enrollment.

Deactivated providers will be notified by letter sent to the provider’s address on file.

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3. EContra Emergency Contraceptives Reimbursable for Medi-Cal and Family PACT

Effective retroactively for dates of service on or after March 1, 2018, National Drug Codes (NDCs) for EContra emergency contraceptive drugs are reimbursable under HCPCS code J3490 U6 for the Medi-Cal and Family Planning, Access, Care and Treatment (Family PACT) programs.

An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims. No action is required of providers.

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4. 2019 Medi-Cal Provider Training Schedule

The 2019 Medi-Cal provider training schedule is now available. Providers can access Medi-Cal training information and registration details by clicking on the Outreach & Education slideshow area of the Medi-Cal website homepage or by visiting the Training Calendar web page of the Medi-Cal Learning Portal (MLP).

Training Date Webinar or Seminar Location Address
January 2 – 31 Webinar Information posted on the Medi-Cal website
February 13 – 14 Seminar Concord
Crowne Plaza
45 John Glenn Drive
Concord, CA  94520
March 13 – 14 Seminar Ontario
Ontario Airport Hotel & Conference Center
700 North Haven Ave.
Ontario, CA  91764
April 17 Seminar Redding
Red Lion Hotel Redding
1830 Hilltop Drive
Redding, CA  96002
May 15 – 16 Seminar Escondido
California Center For The Arts
340 N. Escondido Blvd.
Escondido, CA  92025
June 4 – 27 Webinar Information to be posted on the Medi-Cal website
July 17 – 18 Seminar Sacramento
Sheraton Grand Sacramento Hotel
1230 J Street
Sacramento, CA  95814
August 14 – 15 Seminar Long Beach
Long Beach Marriott
4700 Airport Plaza Drive
Long Beach, CA  90815
September 17 – 18 Seminar Visalia
Visalia Convention Center
303 E. Acequia Ave.
Visalia, CA  93291
October 29 – 30 Seminar Pasadena
Pasadena Convention Center
300 E. Green Street
Pasadena, CA  91101
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5. January 2019 Medi-Cal Provider Training Webinars

Beginning January 2, 2019, and continuing throughout the month of January, Medi-Cal providers may participate in provider training webinars:

Providers will be able to print class materials and ask questions during the training sessions. Recorded webinars will be archived and available for on-demand viewing from the MLP.

To view the webinars, providers must have Internet access and a user profile in the MLP. Detailed instructions about the registration process and how to access webinar classes are available on the Outreach & Education page of the Medi-Cal website.

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6. February 2019 Medi-Cal Provider Seminar

The February Medi-Cal provider seminar is scheduled for February 13 – 14, 2019, at the Crown Plaza in Concord, California. Providers can access a class schedule for the seminar by visiting the Provider Training web page of the Medi-Cal Learning Portal (MLP) and clicking the seminar date(s) they would like to attend. Providers may RSVP by logging in to the MLP.

Throughout the year, the Department of Health Care Services (DHCS) and the DHCS Fiscal Intermediary (FI) for Medi-Cal conduct Medi-Cal training seminars. These seminars, which target both novice and experienced providers and billing staff, cover the following topics:

Providers must register by January 30, 2019, to receive a hard copy of the Medi-Cal provider training workbooks on the date(s) of training. After January 30, 2019, the workbooks will be available only by download on the Medi-Cal Provider Training Workbooks page of the Medi-Cal website.

Note:

Wi-Fi will not be provided at the seminar. Please plan accordingly.

Providers that require more in-depth claim and billing information have the option to receive one-on-one claims assistance, which is available at all seminars, in the Claims Assistance Room.

Providers may also schedule a custom billing workshop. On the Lookup Regional Representative web page, enter the ZIP code for the area you wish to search and click the “Enter ZIP Code” button. The name of the designated field representative for your area will appear on the map. To contact a regional representative, providers must first contact the Telephone Service Center (TSC) at 1-800-541-5555 and request to be contacted by a representative.

Providers are encouraged to bookmark the Provider Training web page and refer to it often for current seminar information.

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7. Provider Orientation

Medi-Cal providers applying to become a Family Planning, Access, Care and Treatment (Family PACT) provider are required to attend a Provider Orientation per Welfare and Institutions Code (W&I Code), Section (§) 24005(k). The Provider Orientation training is delivered online and in person and includes information on comprehensive family planning, program benefits and services, client eligibility, provider responsibilities and compliance.

Each provider's service location is required to be certified for enrollment in the Family PACT Program. Applicants who are enrolled in Medi-Cal and in good standing or are pending Medi-Cal enrollment and who have submitted a Family PACT application packet may complete the Provider Orientation to certify a site for enrollment.

Each service location must designate one eligible representative to be the site certifier. The site certifier cannot certify multiple sites.

The medical director, physician, nurse practitioner or certified nurse midwife who is responsible for overseeing the family planning services rendered at the location to be enrolled is eligible to certify the site.

Provider Orientation details and registration information is posted on the Family PACT website at www.familypact.org.

Upcoming In-Person Orientation

Oakland
February 13, 2019
10:00 a.m. – 2:00 p.m.
California Endowment
2000 Franklin Street
Oakland, CA¬† 94612

Please contact the Office of Family Planning by phone (916) 650-0414 or email us at ProviderServices@dhcs.ca.gov if you have any questions regarding the orientation process.

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The Medi-Cal Subscription Service (MCSS) is a free service that keeps you up-to-date on the latest Medi-Cal news. Subscribers receive subject-specific emails shortly after urgent announcements and other updates post on the Medi-Cal website.

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After submitting the form, a welcome email will be sent to the provided email address. If you are unable to locate the welcome email in your inbox, check your junk email folder.

For more information about MCSS, please visit the MCSS Help page.

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9. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:

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