FPACT - Family PACT Policies, Procedures and Billing Instructions Manual



Family PACT Letter (00letter) (Revision Date May 29, 2020) | (232KB)
Manual Organization (0A man org) (Revision Date Aug 14, 2020) | (105KB)
How to Use This Manual (0B hw to use) (Revision Date Sep 16, 2020) | (371KB)
Family PACT Manual Table of Contents (1toc fpact) (Revision Date May 29, 2020) | (126KB)
Benefits: Clinical Services Overview (ben clinic) (Revision Date Aug 14, 2020) | (122KB)
Benefits: Family Planning (ben fam) (Revision Date Sep 16, 2020) | (616KB)
Benefits: Family Planning-Related Services (ben fam rel) (Revision Date Aug 31, 2020) | (350KB)
Benefits Grid (ben grid) (Revision Date Oct 15, 2020) | (451KB)
Claim Completion: CMS-1500 (claim cms) (Revision Date Aug 31, 2020) | (6030KB)
Claim Completion: UB-04 (claim ub) (Revision Date Sep 16, 2020) | (577KB)
Client Eligibility (client elig) (Revision Date Aug 31, 2020) | (310KB)
Clinic Formulary (clinic) (Revision Date Sep 16, 2020) | (421KB)
Drugs: Onsite Dispensing Billing Instructions (drug) (Revision Date Aug 14, 2020) | (199KB)
Drugs: Onsite Dispensing Price Guide (drug onsite) (Revision Date Sep 16, 2020) | (174KB)
Family PACT Program Overview (fam) (Revision Date Aug 14, 2020) | (138KB)
Health Access Programs (HAP) Cards (hap cards) (Revision Date May 29, 2020) | (168KB)
Laboratory Services (lab) (Revision Date Oct 16, 2020) | (412KB)
Pharmacy Billing Overview (pharm) (Revision Date Aug 31, 2020) | (151KB)
Pharmacy Formulary (pharmacy) (Revision Date Oct 15, 2020) | (355KB)
Program Standards (prog stand) (Revision Date Aug 31, 2020) | (231KB)
Provider Enrollment (prov enroll) (Revision Date Aug 31, 2020) | (152KB)
Provider Relations Directory (prov rel) (Revision Date Aug 31, 2020) | (193KB)
Provider Responsibilities (prov res) (Revision Date Aug 31, 2020) | (192KB)
Radiology Services (radi) (Revision Date Aug 31, 2020) | (94KB)
Treatment Authorization Request (TAR) (Revision Date Sep 16, 2020) | (120KB)


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