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Publications
Provider Manuals
FPACT - Family PACT Policies, Procedures and Billing Instructions Manual
Family PACT Letter (00letter)
(Revision Date May 29, 2020) |
232KB)
How to Use This Manual (0B hw to use)
(Revision Date Feb 16, 2022) |
392KB)
Family PACT Manual Table of Contents (1toc fpact)
(Revision Date May 29, 2020) |
126KB)
Benefits: Clinical Services Overview (ben clinic)
(Revision Date May 16, 2022) |
127KB)
Benefits: Family Planning (ben fam)
(Revision Date Jan 14, 2022) |
589KB)
Benefits: Family Planning-Related Services (ben fam rel)
(Revision Date Apr 15, 2022) |
335KB)
Benefits Grid (ben grid)
(Revision Date Apr 15, 2022) |
500KB)
Claim Completion: CMS-1500 (claim cms)
(Revision Date Sep 16, 2021) |
2589KB)
Claim Completion: UB-04 (claim ub)
(Revision Date Sep 16, 2021) |
646KB)
Client Eligibility (client elig)
(Revision Date May 16, 2022) |
345KB)
Clinic Formulary (clinic)
(Revision Date Jan 14, 2022) |
372KB)
Drugs: Onsite Dispensing Billing Instructions (drug)
(Revision Date Dec 31, 2021) |
172KB)
Drugs: Onsite Dispensing Price Guide (drug onsite)
(Revision Date Jan 14, 2022) |
181KB)
Family PACT Program Overview (fam)
(Revision Date Dec 31, 2021) |
139KB)
Health Access Programs (HAP) Cards (hap cards)
(Revision Date Nov 16, 2021) |
230KB)
Laboratory Services (lab)
(Revision Date Apr 15, 2022) |
336KB)
Office Visits: Evaluation and Management and Education and Counseling (office)
(Revision Date Apr 15, 2022) |
195KB)
Pharmacy Billing Overview (pharm)
(Revision Date Dec 31, 2021) |
186KB)
Pharmacy Formulary (pharmacy)
(Revision Date Dec 31, 2021) |
88KB)
Program Standards (prog stand)
(Revision Date May 16, 2022) |
235KB)
Provider Enrollment (prov enroll)
(Revision Date Aug 31, 2020) |
152KB)
Provider Relations Directory (prov rel)
(Revision Date Dec 31, 2021) |
188KB)
Provider Responsibilities (prov res)
(Revision Date Feb 16, 2022) |
208KB)
Radiology Services (radi)
(Revision Date Aug 31, 2020) |
94KB)
Treatment Authorization Request (TAR)
(Revision Date Dec 31, 2021) |
88KB)
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