April 22, 2022
Effective for dates of service on or after April 1, 2022, Family Planning Access, Care and Treatment (Family PACT) Program providers are to use the following income eligibility guidelines when determining client eligibility for Family PACT services. Providers should disregard all previous Family PACT income eligibility guidelines charts.
Federal Income Guidelines
200 Percent of Poverty by Family Size
Effective April 1, 2022
|
Number of Persons In family/household
|
Monthly Income
(In dollars)
|
Annual Income
(In dollars)
|
| 1 |
2,265 |
27,180 |
| 2 |
3,052 |
36,620 |
| 3 |
3,838 |
46,060 |
| 4 |
4,625 |
55,500 |
| 5 |
5,412 |
64,940 |
| 6 |
6,198 |
74,380 |
| 7 |
6,985 |
83,820 |
| 8 |
7,772 |
93,260 |
| For each additional person, add: |
787 |
9,440 |
These changes will be reflected in the provider manual in an upcoming Medi-Cal Update.
