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Resources by Topic: Federally Qualified Health Centers

Community Health Centers And Medicaid: A Deeper Dive Into FQHC Alternative Payment Reform
An overview of the development of the Medicaid FQHC policy, since 1965, between Medicare and Medicaid, providing third-party financing, and CHCs, offering primary healthcare to underserved rural and urban areas. Discusses the discrepancies in Medicaid payment policies affecting CHCs, and federal legislative actions and amendments to reconcile budgets. Describes the alternative payment methodology (APM) and its effect on the prospective payment system.
Author(s): Sara Rosenbaum, Peter Shin, Jessica Shara, Colleen Bedenbaugh
Citation: Health Affairs
Date: 01/2023
Type: Document
Sponsoring organization: Health Affairs
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Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021
Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs) from 2018-2021. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 01/2023
Type: Document
Sponsoring organization: Capital Link
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Public Law 117–328: Consolidated Appropriations Act, 2023
Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Type: Document
Sponsoring organization: U.S. Congress
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New Mexico Primary Care Alternative Payment Model Provider Readiness Assessment
Examines facilitators and barriers related to primary care stakeholders' readiness to implement an alternative payment model (APM) in New Mexico. Analyzes 2022 survey and focus group data from providers to gain feedback from Federally Qualified Health Centers (FQHCs), small- and medium-sized practices, hospitals, and interprofessional teams. Discusses issues such as care delivery, health information technology (HIT), financial and organizational readiness, and more, with information specific to small and rural facilities.
Date: 11/2022
Type: Document
Sponsoring organizations: Health Management Associates, New Mexico Human Services Department
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Dental Therapy Resource Guide
Describes the role of dental therapists in expanding access to dental health care in rural and underserved communities. Outlines the status of state laws and regulations regarding dental therapy education and practice as of August 2021. Compares the scope of practice of dental therapists to other dental care providers.
Date: 11/2022
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Telehealth Policies and Federally Qualified Health Centers
Fact sheet providing an overview of telehealth policies for Federally Qualified Health Centers (FQHCs). Covers originating and distance sites, reimbursement, and services outside the FQHC. Includes a chart of FQHC Medicaid telehealth reimbursement eligibility by state.
Date: 10/2022
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Changes in Access to Nearest Federally Qualified Health Centers and Rural Health Clinics Among Rural ZIP Codes That Did and Did Not Experience a Hospital Closure, 2006-2018
Findings brief exploring changes in geographic accessibility within rural ZIP codes to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2016-18. Compares changes in access to services within rural counties that experienced the loss of its nearest hospital to changes in access within rural counties that never experienced a hospital closure. Features county-level maps showing changes in distance to nearest FQHCs and RHCs for rural ZIP codes and statistics on estimated percentage point changes in access to FQHCs and RHCs from 2016-2018.
Author(s): Nathaniel Bell, Peiyin Hung, Sylvia Shi, Elizabeth Crouch, Jan M. Eberth
Date: 10/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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'Filling the Cracks': How a Rural Maine Community Kept its 24/7 Urgent Care Open with Paramedics
Features a pilot program serving rural Maine where paramedics take shifts staffing the local health center after-hours and on weekends.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicare Payment Basics: Federally Qualified Health Center and Rural Health Clinic Payment Systems
Presents an overview of Medicare payments for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Details how the all-inclusive rate (AIR) is calculated for RHCs and how the national statutory payment limit applies to provider-based RHCs enrolled in Medicare before December 31, 2020, and part of a hospital with fewer than 50 beds. Includes information on special payment rules for certain services provided by FQHCs and RHCs.
Date: 10/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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State of Missouri - Physician Manual
Identifies the conditions of participation for physicians providing services in Missouri state-funded healthcare programs including MO HealthNet, Missouri's Medicaid program. Includes specific procedures for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) participating in these programs. Addresses covered telehealth services and which counties are categorized as rural.
Date: 10/2022
Type: Document
Sponsoring organization: Missouri Health Net
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