Family PACT FAQs

What is a QP?                                                                                                                                                                                              Answer: A QP (Qualified Provider) is an approved Medi-Cal provider who participates as a QP, permitted under the approved California Medicaid State Plan in relation to PE programs.

Can an individual who is not a California resident get coverage under the COVID-19 Uninsured Group program?                Answer: No, you must be a California resident to be eligible for the COVID-19 Uninsured Group program.

How does a QP access the COVID-19 Uninsured Group Application Portal?                                                                                    Answer: To access the COVID-19 Uninsured Group Application Portal, follow the instructions below:

• Access the Medi-Cal website, select “Providers” and click the “Transactions” link.
• Enter your User ID (National Provider Identifier) and Password (Provider Identification Number) and click the “Submit” button.
• Click the “Prgms” tab.
• Click the “COVID-19 Uninsured Group Eligibility” link.

Which Internet browser should I use to access the COVID-19 Uninsured Group Application Portal?                                        Answer: Medi-Cal recommends that providers use the Chrome browser when accessing the COVID-19 Uninsured Group Application Portal to avoid any printing issues that may occur with other Internet browsers.

How long does it take to receive the COVID-19 Uninsured Group determination?                                                                      Answer: The QP will be able to view the applicants COVID-19 Uninsured Group eligibility determination in the Point of Service (POS) system in real-time once eligibility is determined.

What services are covered under the COVID-19 Uninsured Group program?                                                                                Answer: All medically necessary services for COVID-19 will be covered under the COVID- 19 Uninsured Group program. This includes medically necessary diagnostic testing, testing-related services, hospitalization and other treatment services provided at the associated office, clinic, or emergency room visit related to COVID-19. These services will be paid up to the maximum reimbursement fee-for-service (FFS) rate, in the FFS delivery system.

Is a SSN required to apply for the COVID-19 Uninsured Group?                                                                                                        Answer: If an individual has a Social Security Number (SSN), it must be provided on the Application for Coverage of COVID-19 Testing Costs form (MC 374).

 Is an individual’s citizenship/immigration status verified when they apply for the new COVID-19 Uninsured Group?           Answer: Yes, an individual’s citizenship/immigration status will be electronically verified. But status is not a condition of eligibility.

 Are telephonic signatures accepted for the new COVID-19 Uninsured Group Application                                                 Answer: Yes, in order to accept a telephonic signature, the following procedure must be followed:

• Read the consent language aloud to the individual/Authorized Representative as it is stated on the signature page of the COVID-19 Uninsured Group Application: By signing, I declare that what I say below is true and correct.

1. I have read and understood this PE for COVID-19 Medi-Cal Application.
2. The information I provided is true, correct, and complete.

• Ask that the individual/Authorized Representative verbally acknowledge their consent.
• In the signature line, write “Verbal consent – COVID-19”.
• Be sure to document and keep documentation for all verbal consent obtained.