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.
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 view details
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 view details
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 view details
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) view details
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 view details
Capital Financing Strategies for Rurally-Located Health Centers
Recording of a September 2022 webinar discussing financing sources available to rural health centers for capital expansion projects. Discusses, including the HRSA Loan Guarantee Program and New Markets Tax Credits, among others. Profiles El Dorado Community Health Center, a rural health center in California that completed a capital development project. Free registration is required to access the webinar recording.
Date: 09/2022 Type: Video/Multimedia Sponsoring organization: Capital Link view details
America's Health Centers
Fact sheet with basic information about Federally Qualified Health Centers (FQHCs) in rural and urban areas. Includes data on the patients they serve and FQHCs' economic impact on a community.
Date: 08/2022 Type: Document Sponsoring organization: National Association of Community Health Centers view details
COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
Addresses issues related to Medicare fee-for-service (FFS) billing during the COVID-19 public health emergency. Covers COVID-19 test specimen collection, diagnostic laboratory services, hospital services, ambulance services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), telehealth, skilled nursing facility services, home health, vaccination, and other services.
Date: 08/2022 Type: Document Sponsoring organization: Centers for Medicare and Medicaid Services view details
Health Center Program: Impact and Growth
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: 08/2022 Type: Document Sponsoring organization: Bureau of Primary Health Care view details