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Federally Qualified Health Centers (FQHCs) and the Health Center Program – News

News stories from the past 60 days.

Jul 11, 2024 - The Centers for Medicare & Medicaid Services' proposed calendar year 2025 physician fee schedule rule includes new payments and coverage for digital health and telehealth services. The draft rule contains significant provisions for Rural Health Clinics and Federally Qualified Health Centers and gives opioid treatment programs more flexibility in their use of telehealth services.
Source: Fierce Healthcare
Jul 11, 2024 - Pre-publication notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) addressing: 1) changes to the Physician Fee Schedule and Medicare Part B payment policies; 2) policies for the Medicare Prescription Drug Inflation Rebate program under the Inflation Reduction Act of 2022; 3) updates to the Medicare Diabetes Prevention Program expanded model; payment for dental services inextricably linked to specific covered medical services; 4) updates to drugs and biological products paid under Part B including immunosuppressive drugs and clotting factors; 5) Medicare Shared Savings Program requirements; 6) updates to the Quality Payment Program; 7) Medicare coverage of opioid use disorder services furnished by opioid treatment programs; 8) updates to policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs); 9) electronic prescribing for controlled substances for a covered Part D drug under a prescription drug plan or an MA-PD plan; 10) updates to the Ambulance Fee Schedule regulations; 11) updates to Clinical Laboratory Fee Schedule regulations; 12) updates to the diabetes payment structure and COVID-19 public health emergency (PHE) flexibilities; 13) expansion of colorectal cancer screening and Hepatitis B vaccine coverage and payment; 14) establishing payment for drugs covered as additional preventive services; and 15) Medicare Parts A and B Overpayment Provisions of the Affordable Care Act. Comments are due by September 9, 2024.
Source: Federal Register
Jun 18, 2024 - Outlines the role of Community Health Centers in expanding access to women's healthcare services in rural and other underserved areas of Tennessee. Notes that health centers offer services regardless of insurance status or the patient's ability to pay. Describes the services offered by two community health centers, including prenatal care, midwifery, delivery, and social services.
Source: Public News Service
Jun 11, 2024 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Identification of Extension Units of Medicare Approved Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP) Providers and Supporting Regulations and 2) Conditions for Certification for Rural Health Clinics and Conditions for Coverage for Federally Qualified Health Centers in 42 CFR 491. Comments are due by July 11, 2024.
Source: Federal Register
May 30, 2024 - Describes the Accountable Care Organization (ACO) Primary Care (PC) Flex Model and offers the Request for Applications. Applications begin by applying to the Shared Savings Program due June 17th as well as submitting the ACO PC Flex Model application due August 1st. Outlines the full application process in Section III.
Source: Centers for Medicare & Medicaid Services, Centers for Medicare & Medicaid Innovation

Last Updated: 7/12/2024