For more information on maximizing revenue generation, please see our guide for school-based health centers on Maximizing Third-Party Reimbursement.
Orientation to FPACT can be billed if it happens in the health center or in a room that shares the address with the health center – either as a group (billing code S9446) or individually (billing code S9445).
Individual visits for all reproductive health services can be billed to FPACT using billing codes 99401U6 to 99403U6 or 99201 to 99204.
FPACT visits can be conducted by a licensed provider or a health educator under the supervision of a medical provider.
Individual screening visits can be billed to Managed Care or Minor Consent Medi-Cal under the minor’s consent if the visit happens in the health center, the visit is with a licensed provider, and reproductive health content is covered.
This information is adapted from the Population-Wide Screenings in Schools Guide: A publication of UCSF and Family Health Together. We are grateful to our partners at ETR for funding and the UCSF School of Nursing for creating this content: Naomi Schapiro, RN, PhD, CPNP; Emily Green, RN, PhD; Victoria F. Keeton, PhD, RN, CPNP-PC; and Ivette Gutierrez, M.A.
We would also like to acknowledge Alameda County Center for Healthy Schools and Communities, Oakland Unified School District, La Clínica de la Raza, Native American Health Center, Lifelong Medical, Karen Gersten-Rothenberg, and Joanna Bauer for their contributions to this toolkit.
Photo credit: Randall Ann Homan