Home 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 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, 2021) |576KB)
Benefits: Family Planning-Related Services (ben fam rel) (Revision Date Nov 16, 2020) |251KB)
Benefits Grid (ben grid) (Revision Date Sep 16, 2021) |473KB)
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 Aug 16, 2021) |345KB)
Clinic Formulary (clinic) (Revision Date Sep 16, 2021) |428KB)
Drugs: Onsite Dispensing Billing Instructions (drug) (Revision Date Sep 16, 2021) |163KB)
Drugs: Onsite Dispensing Price Guide (drug onsite) (Revision Date Jun 16, 2021) |171KB)
Family PACT Program Overview (fam) (Revision Date Aug 14, 2020) |138KB)
Health Access Programs (HAP) Cards (hap cards) (Revision Date Apr 16, 2021) |233KB)
Laboratory Services (lab) (Revision Date Dec 16, 2020) |403KB)
Office Visits: Evaluation and Management and Education and Counseling (office) (Revision Date Sep 16, 2021) |199KB)
Pharmacy Billing Overview (pharm) (Revision Date Feb 17, 2021) |163KB)
Pharmacy Formulary (pharmacy) (Revision Date Sep 16, 2021) |330KB)
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 Apr 16, 2021) |200KB)
Radiology Services (radi) (Revision Date Aug 31, 2020) |94KB)
Treatment Authorization Request (TAR) (Revision Date Jan 15, 2021) |88KB)


Note:
Download PDF (Portable Document Format) reader from the Web Tool Box.

Transactions

Provider

Support

Statewide Campaigns

Website Accessibility Certification