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Family Planning, Access, Care and Treatment Program (Family PACT)

Allows federal reimbursement for reproductive health services for medically indigent females and males.  Family PACT focuses outreach efforts at adults at or below 200 percent of the federal poverty level (FPL) who are at risk of unintended pregnancy.  The program provides pregnancy prevention services, including contraceptives, and sexually transmitted disease preventive services and education.

Type of Waiver

1115 Demonstration Project Waiver


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Eligibility Requirements

  • The client must reside in one of the 58 California counties in order to be eligible for Family PACT services.
  • Medi-Cal (Managed Care or fee-for-service) or the other health coverage should be utilized prior to a request to access services under the Family PACT program.
  • The Family PACT provider must determine that the client is at risk of becoming pregnant or causing a pregnancy to occur.
  • Women older than 55 years of age, and males older than 60 years of age, are ineligible.
  • Persons who are inmates of public institutions, including prisons, jails or juvenile detention centers are not eligible for Family PACT services.
  • The total countable monthly family gross income is compared to the federal poverty level income limit of 200% of the FPL for the number of persons declared to be in the family.  These amounts increase in April of each year. When the client’s countable income is at or below the amount for the family size, there is potential eligibility for Family PACT program.
  • A client must be recertified for eligibility annually.
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Services Provided

  • All FDA approved birth control methods, devices and supplies that are in keeping with current standards of practice
  • A comprehensive reproductive health history, physical examination and pap smear
  • Emergency services directly related to the contraceptive method and follow-up
  • Pregnancy testing and counseling
  • Prevention and treatment of sexually transmitted infections
  • HIV testing and counseling
  • Limited diagnostic services for fertility management
  • Male and female sterilization
  • Reproductive health education and counseling services
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Funding Source

  • State General Fund
  • Federal Medicaid Funds

Enrollment Cap

No cap requirements


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Waiver Term

December 1, 1999 through November 30, 2004;
currently continues operating on monthly extensions


Links for Additional Information

Family PACT April 23, 1999 Proposal (Part I & Part II)
Family PACT Special Terms and Conditions, December 1, 1999

Social Security Act - Title XI
Demonstration Projects
Contact Information

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Data Current as of May 29, 2007

Last modified on: 2/21/2014 1:57 PM