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Medi-CalMedicaid · Documentation · Provider Bulletin · CA · OB-GYN, General Practice, Family MedicineMedium impact

Sterilization Consent Form Now Available in Additional Languages

Effective date
Aug 11, 2026
Identified
Aug 12, 2026

Summary

Medi-Cal and Family PACT Program have updated the Consent for Sterilization (DHCS 8649) form to now be available in all threshold languages. Additionally, updated sterilization education booklets are now available. Providers must use only the official DHCS 8649 consent form for all sterilization services billing to Medi-Cal.

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What to do

Action · 4 steps
01Immediately effective: Billing team and clinical staff must ensure all sterilization consent documentation uses the official DHCS 8649 form in the appropriate threshold language matching patient language preference.
02Update sterilization procedure protocols to reference the multilingual forms available on the DHCS website (https://mcweb.apps.prd.cammis.medi-cal.ca.gov/) and Medi-Cal Providers Forms page.
03Verify that only DHCS 8649 consent forms are accepted for Medi-Cal and Family PACT claims; claims submitted with alternative consent forms will be denied.
04For clarification on sterilization service requirements, contact DHCS Office of Family Planning at FamilyPact@dhcs.ca.gov.

Original notice

Sterilization Consent Form Now Available in Additional Languages
mcweb.apps.prd.cammis.medi-cal.ca.gov · Always check the source before changing claims.
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Medi-Cal policiesCA policy changesOB-GYNGeneral PracticeFamily Medicine

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