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Home | California Family PACT

    https://familypact.org/
    The Family Planning, Access, Care, and Treatment (Family PACT) Program is administered by the California Department of Health Care Services, OFP and has been operating since …

Family Pact - Women's Health

    https://dhs.lacounty.gov/womens-health/our-services/womens-health/family-planning/family-pact/
    The Family Planning, Access, Care, and Treatment ( Family PACT) program provides low-income women, men and teens with access …

Benefits Grid (ben grid) - Medi-Cal

    https://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/fpact/bengrid.pdf
    CT and GC screening tests for females 25 years of age and older and males of all ages require an additional ICD-10-CM code. Females under 25 years of age may require an …

DHCS 4000 - California

    https://www.dhcs.ca.gov/formsandpubs/forms/Pages/Index-DHCS4000.aspx
    DHCS 4001SP - Family PACT Program Retroactive Eligibility Certification (REC-Spanish) DHCS 4014 (06/07) - California Children's Services Medical Report. …

FEMALE MEDICAL HISTORY A. Family Medical History: …

    https://cmfmedical.net/wp-content/uploads/2017/04/Form-79-PACT-Female-Medical-History-English.pdf
    A. Family Medical History: Provider notes: Has anyone in your family (mother, father, brother, sister) ever had: 1. Heart attack/disease 6. Diabetes 10. Maternal DES …

Family PACT Sample

    https://familypact.org/wp-content/uploads/2021/07/20210601_Superbill_WebEQ.pdf
    (symptomatic females only)Urinalysis, dipstick with microUrinalysis dipstick without microUrine microscopy Quantity/NDC: Cephalexin 250/500 mg …

Family Planning -PACT – Clinica Medica Familiar

    https://cmfmedical.net/no-cost-programs/family-planning/
    Family Planning -PACT – Clinica Medica Familiar Family Planning -PACT Clinica Medica Familiar, provides a full range of family planning services through PACT, including a FREE complete physical exam …

Family PACT Program Overview (fam) - Medi-Cal

    https://files.medi-cal.ca.gov/pubsdoco/publications/masters-mtp/fpact/fam.pdf
    Family PACT services are comparable for both females and males, except for appropriate gender differences. Excluded Services Family PACT does not cover the following …



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