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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 Apr 14, 2023) |
89KB)
Benefits: Family Planning (ben fam)
(Revision Date Apr 14, 2023) |
557KB)
Benefits: Family Planning-Related Services (ben fam rel)
(Revision Date May 16, 2023) |
352KB)
Benefits Grid (ben grid)
(Revision Date May 16, 2023) |
432KB)
Claim Completion: CMS-1500 (claim cms)
(Revision Date Oct 14, 2022) |
2360KB)
Claim Completion: UB-04 (claim ub)
(Revision Date Sep 16, 2021) |
646KB)
Client Eligibility (client elig)
(Revision Date Apr 14, 2023) |
380KB)
Clinic Formulary (clinic)
(Revision Date Nov 16, 2022) |
374KB)
Drugs: Onsite Dispensing Billing Instructions (drug)
(Revision Date Oct 14, 2022) |
173KB)
Drugs: Onsite Dispensing Price Guide (drug onsite)
(Revision Date May 16, 2023) |
167KB)
Family PACT Program Overview (fam)
(Revision Date Apr 14, 2023) |
140KB)
Health Access Programs (HAP) Cards (hap cards)
(Revision Date Mar 16, 2023) |
229KB)
Laboratory Services (lab)
(Revision Date May 16, 2023) |
404KB)
Office Visits: Evaluation and Management and Education and Counseling (office)
(Revision Date Oct 14, 2022) |
195KB)
Pharmacy Billing Overview (pharm)
(Revision Date Apr 14, 2023) |
170KB)
Pharmacy Formulary (pharmacy)
(Revision Date Dec 31, 2021) |
88KB)
Program Standards (prog stand)
(Revision Date Oct 14, 2022) |
237KB)
Provider Enrollment and Responsibilities (prov enroll res)
(Revision Date Mar 16, 2023) |
258KB)
Provider Relations Directory (prov rel)
(Revision Date Mar 16, 2023) |
178KB)
Radiology Services (radi)
(Revision Date Aug 31, 2020) |
94KB)
Treatment Authorization Request (TAR) (tar)
(Revision Date Apr 14, 2023) |
87KB)
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