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Select Comprehensive Family Planning Services Policy Update

December 28, 2017

The Family Planning, Access, Care and Treatment (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, 2017 through June 30, 2018. These supplemental payments are equal to 150 percent of the reimbursement amount for procedure codes 99201, 99202, 99203, 99204, 99211, 99212, 99213, and 99214. Claims submitted for dates of service beginning January 1, 2018 will include the 150 percent supplemental payment. An Erroneous Payment Correction will be initiated in January 2018 to address retroactive payments for dates of service July 1, 2017 through December 31, 2018. This payment increase was mandated by Assembly Bill no. 120 (Stats. 2017, ch. 22, § 3, Item 4260-101-3305), which amended the Budget Act of 2017 to appropriate Prop. 56 funds for specified DHCS health care expenditures during the 2017–18 state fiscal year.