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  • Family Pact State Of California Health Access Programs Form

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State of California--Health and Human Services Agency California Department of Public Health HEALTH ACCESS PROGRAMS FAMILY PACT PROGRAM CLIENT ELIGIBILITY CERTIFICATION (CEC) Client identification.

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The Family Planning, Access, Care, and Treatment (Family PACT) program provides low-income women, men and teens with access to health information, counseling, and family planning services to reduce the likelihood of unintended pregnancy and maintain reproductive health.

The HAP card is a teal blue card that represents Family PACT enrollment. The teal card helps patients access essential reproductive and sexual health care, but it is not health insurance. If your HAP card is no longer active, no need to worry!

Family PACT is a program that provides family planning and related services to people who qualify. If you are eligible for Family PACT, you can receive family planning services for free.

Family PACT Program covers urinary tract infections (UTIs) and screening for cervical cancer and pre-invasive cervical lesions for women when the care is provided coincident to a visit for the management of a family planning method.

“Site Certifier” – each service site location must designate one eligible representative to be a site certifier. The site certifier is responsible for overseeing family planning services at the location to be enrolled. A Medical Director, MD, CNP, or CNM is eligible to certify a site.

Your income must be at or below 200% of the federal poverty income guidelines. This is based on the basic family unity. Who should you count? Here are the 2022 Federal Poverty Guidelines to help you find out if you qualify.

A client is not eligible for Family PACT benefits for any of the following reasons: • The client is not a California resident. ‹‹The client has a total taxable family income that is more than 200 percent of the federal poverty guidelines.›› • The client has full-scope Medi-Cal. access their OHC does not exist.

Many clients served by the Family PACT Program will be eligible for health insurance coverage through Medi-Cal program expansion or subsidized health insurance through Covered California (.coveredca.com).

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232