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

Selected recent or important resources focusing on Federally Qualified Health Centers (FQHCs) and the Health Center Program.

Become a Health Center
Provides information on becoming a Health Center Program awardee or look-alike. Includes details on applying for health center program funding and the benefits of look-alike designation, including Federally Qualified Health Center (FQHC) reimbursement from Medicare and Medicaid.
Date: 03/2024
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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Impact of the Health Center Program
Brief overview of the Health Center Program, focusing on the goals of advancing health equity, addressing emergent public health needs, and driving quality improvement.
Date: 03/2024
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Billing Requirements for Intensive Outpatient Program Services for Federally Qualified Health Centers & Rural Health Clinics
Provides an overview of Medicare coverage for intensive outpatient program (IOP) services and billing requirements for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Federally Qualified Health Center Sites Outside of Urban Areas
Printable map that shows the location of Federally Qualified Health Center (FQHC) sites that are located outside of urban areas by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 12/2023
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs); including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telehealth Policies and Federally Qualified Health Centers
Provides an overview of telehealth policies for Federally Qualified Health Centers (FQHCs). Covers originating and distance sites, reimbursement, services outside the four walls of the FQHC, and more. Includes a chart of FQHC Medicaid telehealth reimbursement eligibility policies by state.
Date: 10/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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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 whether they part of a hospital with fewer than 50 beds. Includes information on special payment rules for certain services provided by FQHCs and RHCs.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Health Center Program Site Visit Protocol
Standardized review instrument to conduct operational site visits at health centers in rural and urban areas. Can be used to assess health centers' compliance with federal program requirements and to identify clinical and financial performance improvement areas.
Date: 09/2023
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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Last Updated: 2/13/2024