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Federally Qualified Health Centers (FQHCs) Resources

Selected recent or important resources focusing on Federally Qualified Health Centers (FQHCs).

Community Health Center Chartbook
Features graphs, figures, and maps to document services provided by health centers, characteristics of the patients served, and progress made in improving access to healthcare, including in rural areas. Also reports on health centers' financial health, workforce status, economic impact, remaining challenges, and more. Includes statistics on telehealth service offerings with breakdowns by urban or rural status.
Date: 06/2018
Type: Document
Sponsoring organization: National Association of Community Health Centers
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National Health Service Corps Site Reference Guide
Provides clarification for National Health Service Corps (NHSC) sites regarding eligibility requirements, qualification factors, compliance, roles and responsibilities, and other factors for becoming as NHSC approved site. This document is a supplemental resource to the information provided in the online NHSC Site Application.
Date: 06/2018
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Toolkit: State Strategies to Develop Value-Based Payment Methodologies for Federally Qualified Health Centers
Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies, by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Telehealth and Health Centers
Discusses Federally Qualified Health Centers (FQHCs) and the increased use of telehealth to provide healthcare services in underserved areas. Covers Medicare and Medicaid reimbursement policies and provides federal and state policy recommendations.
Date: 04/2018
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Community Health Centers and Family Planning in an Era of Policy Uncertainty
Report discusses a study assessing community health centers' role in providing access to contraception and family planning services in rural and underserved areas. Details the role of the Title X family planning program and Medicaid in providing access.
Author(s): Susan F. Wood, Julia Strasser, Jessica Sharac, et al.
Date: 03/2018
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions
Provides general information about care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team.
Date: 02/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Health Center Program Is Increasing Access to Care Through Telehealth
Provides a snapshot showing how community health centers utilize telehealth to expand access to quality healthcare. Includes data comparing how rural and urban health centers use telehealth to provide different types of healthcare services.
Date: 02/2018
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Trends in the Provision of Oral Health Services by Federally Qualified Health Centers
Summarizes trends in recent years and factors that predict likelihood of an FQHC providing general or specialty oral health services. Features statistics including breakdowns by percentage of population living in rural areas.
Author(s): Simona Surdu, Margaret Langelier
Date: 01/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Health Center-Based Medical-Legal Partnerships: Where They Are, How They Work, and How They Are Funded
Describes the recent, rapid expansion of medical-legal partnerships (MLPs) among America's health centers. Highlights programs in four states - Colorado, Oregon, Indiana, and California - and explains how MLPs operate, how they are financed, and how state primary care associations are supporting them. Briefly describes the reasons MLPs are more prevalent in urban areas than in rural areas.
Author(s): Alanna Williamson, Jennifer Trott, Marsha Regenstein
Date: 01/2018
Type: Document
Sponsoring organization: National Center for Medical-Legal Partnership
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Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of January 9, 2018, regarding Medicare payment policies for Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC).
Date: 01/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicaid Payment Policy for Federally Qualified Health Centers
Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Nonmetropolitan Federally Qualified Health Centers (FQHCs)
Printable map that shows the location of nonmetropolitan FQHCs nationwide by state. Data source: HRSA Data Warehouse, U.S. Department of Health and Human Services, November 2017.
Date: 11/2017
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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America's Health Centers
Fact sheet providing basic information about Federally Qualified Health Centers (FQHCs) in rural and urban areas. Presented in question and answer format.
Additional links: Fact Sheet Source List
Date: 10/2017
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Innovations in Rural Health System Development: Federally Qualified Health Center Initiatives
Details a report on Maine's Federally Qualified Health Centers (FQHCs). Discusses strategies for workforce recruitment and retention, serving a high-need patient population, addressing critical community needs, and providing services that address the social determinants of health. Provides various examples of programs from across the state.
Author(s): Sara Kahn-Troster, Amanda Burgess, Andrew Coburn
Date: 09/2017
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Muskie School of Public Service Institute for Health Policy
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Health Center Program Fact Sheet
Brief overview of the Health Center Program, focusing on the goals of increasing access to care, improving health outcomes, and reducing healthcare costs. Included graph helps illustrate program growth over the 15-year period from 2001-2016.
Date: 08/2017
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Advancing Payment Innovation within Federally Qualified Health Centers: Lessons from California
Provides an overview of the California Department of Health Care Services' proposed FQHC alternative payment methodology (APM), details the APM's development process, and shares key lessons learned to date. The pilot project involves several rural health centers, and aims to give FQHCs more effective incentives to achieve the healthcare Triple Aim - better care, better health, and lower costs.
Author(s): Greg Howe, Kathy Moses, Tricia McGinnis
Date: 05/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Federal Health Centers: An Overview
Explains the Federal Health Center program, with information relating to the statutory authority, program requirements, funding, location, patient populations, health outcomes, and more. Also discusses the Federally Qualified Health Center (FQHC) designation, and how this designation affects Medicare and Medicaid payment levels.
Date: 05/2017
Type: Document
Sponsoring organization: Congressional Research Service
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Projected Financial Losses Experienced by Community Health Centers under a Scenario of Major Cuts in Key Sources of Federal Funding: 2018-2022
Simulates the potential financial impacts on health centers and communities if the following congressional proposals are implemented: cuts to federal funding for Medicaid expansion, cuts to federal funding for Marketplace subsidies, and allowing the Community Health Centers Fund to expire. Also assesses the implications for other state and federal programs that may be required to help fill the resulting service and funding gaps.
Author(s): Avi Dor, Eric Luo, Ali Moghtaderi, Anne Rossier Markus
Date: 04/2017
Type: Document
Sponsoring organization: George Washington University Department of Health Policy and Management
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How Could Repealing Key Provisions of the Affordable Care Act Affect Community Health Centers and their Patients?
Analyzes and estimates the potential effects of repealing certain provisions of the Affordable Care Act (ACA), focusing primarily on the implications for community health centers located in medically underserved communities. Examines how each of the following actions may affect health centers and primary healthcare access: ending the Health Centers Fund, ending health insurance subsidies, and ending expanded Medicaid coverage.
Author(s): Sara J. Rosenbaum, Jessica Sharac, Thao-Chi Tran, et al.
Date: 03/2017
Type: Document
Sponsoring organization: George Washington University Department of Health Policy and Management
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Strengthening the Safety Net: Community Health Centers on the Front Lines of American Health Care
Highlights community health centers as an integral part of the American healthcare delivery system. Explains how health centers area able to improve access to care, deliver value, serve communities, and respond to emerging challenges. Also provides stories about health centers that currently serve rural communities, and presents policy priorities that will help health centers succeed in the future.
Date: 03/2017
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Community Health Centers: Recent Growth and the Role of the ACA
Uses 2015 federal data on health centers and survey results from the 2016 Survey of Health Centers' Experiences and Activities to provide an overview of health centers and their patients. Compares health centers in Medicaid expansion and non-expansion states, covering topics such as revenue sources, service capacity, patient demographics, patient health coverage, and more. Also discusses the distribution and impact of health centers in rural and medically underserved communities.
Author(s): Sara Rosenbaum, Julia Paradise, Anne Markus, et al.
Date: 01/2017
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Spotlight on Health Center Payment Reform: Oregon Alternative Payment and Advanced Care Model
Provides an overview of Oregon’s Alternative Payment and Advanced Care Model (APCM), a CMS approved payment methodology, as a response to health system reform to improve quality, access, health equity, and reduce healthcare costs. Highlights the implementation criteria for Federally Qualified Health Centers (FQHCs) which includes interaction with Rural Health Clinics and the Indian Health Service.
Date: 12/2016
Type: Document
Sponsoring organizations: National Association of Community Health Centers, Oregon Primary Care Association
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The Impact of State Health Policies on Integrated Care at Health Centers
Examines the opportunities and challenges at the federal, state, payer, and provider levels regarding the adoption of an integrated healthcare model focusing on the coordination of medical care and behavioral health in rural and urban community health centers (CHCs). Describes specific state initiatives that have supported or inhibited this coordinated approach.
Date: 10/2016
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Update on Medicaid Expansion via 1115 Waivers
A discussion on the current status and trends of Medicaid expansion waivers and premium assistance activity among the states, and the implications for Federally Qualified Health Centers (FQHCs), and to some extent Rural Health Clinics (RHCs). Includes more detailed information on approved provisions occurring in Arizona, Arkansas, Indiana, Iowa, Michigan, Montana, and New Hampshire.
Date: 06/2016
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies
Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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2015 Update on the Implementation of the FQHC Prospective Payment System (PPS) in the States
Provides updates on regulatory policy changes to the prospective payment system (PPS) and the alternative payment methodology (APM) as reported by NACHC's 2015 annual survey of state primary care associations (PCAs). Reports on both rural and urban Federally Qualified Health Centers (FQHCs). Covers the use of PPS and APM across the states, dual eligibility, and service specific rates.
Author(s): Luke Ertle, Dawn McKinney
Date: 12/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers
Describes the differences between Rural Health Clinics and Federally Qualified Health Centers. Identifies the rules and regulations for processing Medicare claims.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Case Studies of 8 Federally Qualified Health Centers: Strategies to Integrate Oral Health with Primary Care
Results of a study conducted between February and July 2015, examining the most effective workforce models, describing delivery of oral health services, and identifying barriers and facilitators of integrating primary care and oral health services in urban and rural Federally Qualified Health Centers.
Author(s): Margaret Langelier, Jean Moore, Bridget Baker, Elizabeth Mertz
Date: 09/2015
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Performance Measurement for Rural Low-Volume Providers
Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs, and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Type: Document
Sponsoring organization: National Quality Forum
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State Trends that Impact the Use of Telehealth at Health Centers: Store-and-Forward and Remote Patient Monitoring
A discussion of several state policies and their legislative activity regarding telehealth services involving asynchronous encounters. These encounters include store-an-forward methods where data is transferred between a patient and provider, or provider to provider, and remote patient monitoring that uses two-way video, remote measurements, and phone-based systems to manage patient care.
Author(s): Heidi Emerson
Date: 09/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Technology Stemming from Tragedy
Describes how Finger Lakes Community Health, a rural Federally Qualified Health Center, developed an open access telehealth network in response to two separate traffic accidents involving FLCH providers.
Author(s): Kate Menzies
Citation: Rural Monitor
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration
Reports on a 3 year demonstration project regarding the change of Federally Qualified Health Centers (FQHCs) into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges involved in this change and the effects of the APCP model on access, quality and cost of care delivered to Medicare and Medicaid patients. Includes a rural/urban comparison of findings and data.
Author(s): Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, et al.
Date: 07/2015
Type: Document
Sponsoring organization: RAND Corporation
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Qualified Health Plans & Health Centers: A Primer
Provides an overview of how Federally Qualified Health Centers (FQHCs) can act as the contracted essential community provider (ECP) for health plans sold through the Health Insurance Marketplace, thus providing low-income and medically underserved patients with consistent healthcare during times when their incomes and personal circumstances change.
Date: 07/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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The Role of Health Centers in Lowering Preventable Emergency Department Use
Discusses the effectiveness of health centers, including community and migrant health centers, providing high quality and timely primary care and reducing the use of emergency departments by patients who have limited access to healthcare, such as low-income, uninsured, and those residing in rural communities.
Date: 07/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Funded! Now What?
Provides a step-by-step guide for section 330 grantees who have recently been funded. Covers governance, administration, recruitment, finance, clinical, operations, information technology, facilities management, and risk management.
Author(s): Henson, Ted
Date: 06/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics
Discusses the results of a survey of rural and urban community health clinics and other clinics to evaluate the use of cell phones to engage patients in their healthcare. Highlights areas where the use of cell phones has shown to be successful in chronic disease management.
Author(s): Andrew Broderick, Farshid Haque
Date: 05/2015
Type: Document
Sponsoring organization: Commonwealth Fund
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Health Center Program Site Visit Guide: For HRSA Health Center Program Grantees and Look-Alikes
Standardized review instrument to conduct operational site visits at health centers in rural and urban areas. Health centers can use the guide to assess compliance with federal program requirements and to identify clinical and financial performance improvement areas.
Date: 11/2014
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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42 CFR Part 491, Subpart A - Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage
Establishes the conditions Rural Health Clinics and Federally Qualified Health Centers must meet to qualify for reimbursement under Medicare, as well as those that Rural Health Clinics must meet to qualify for reimbursement under Medicaid.
Date: 10/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions
Offers information on community health centers, which provide access to care for patients in rural and medically underserved areas. Provides a comparison of health centers in Medicaid expansion and non-expansion states, and the percentage of those health centers in rural versus urban locations.
Author(s): Peter Shin, Jessica Sharac, Sara Rosenbaum, Julia Paradise
Date: 09/2014
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Snapshot: Health Centers and Electronic Health Records: Adoption, Use, and Impact
Provides an overview on the adoption rate of electronic health records (EHRs) in both urban and rural federally funded health centers.
Date: 06/2014
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Medicare Program; Prospective Payment System for FQHCs; Changes to Contracting Policies for RHCs; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral
The final rule with comment period that implements the methodology and payment rates for a prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs) services beginning October 1, 2014 under Medicare Part B, in compliance with the Affordable Care Act (ACA). Identifies the policy allowing Rural Health Clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and incorporated other technical changes to FQHC and RHC regulations. Changes to the Clinical Laboratory Improvement Amendments of 1988 enforcement actions for proficiency testing referral are included.
Date: 05/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Safety Net Clinics Serving the Elderly in Rural Areas: Rural Health Clinic Patients Compared to Federally Qualified Health Center Patients
Compares the distribution of Rural Health Clinics (RHCs) and nonmetro Federally Qualified Health Centers (FQHCs). Looks at how the Medicare populations served by these types of facilities differ.
Author(s): Andrea D. Radford, Victoria A. Freeman, Denise A. Kirk, Hilda A. Howard, Mark Holmes
Date: 05/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Ready or Not? How Community Health Centers View Their Preparedness to Care for Newly Insured Patients
Surveys Federally Qualified Health Centers (FQHCs) on their preparedness for the anticipated growth in patients due to more people having obtained health insurance under the enactment of the Affordable Care Act. Mentions rural throughout.
Author(s): Melinda Abrams, Michelle Doty, Jamie Ryan, Dominique Hall, Pamela Riley
Date: 05/2014
Type: Document
Sponsoring organization: Commonwealth Fund
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Building Research Partnerships with Community Health Centers: A Toolkit for Academics
Toolkit to help academics and external researchers understand the health center model and its unique structure, including the community-based research and participation. Provides guidance to help develop more equitable and sustainable relationships with health centers. Approximately half of all health center patients live in rural areas.
Author(s): Michelle Jester, Michelle Proser, Peter Shin
Date: 05/2014
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Collaboration, Not Competition to Improve Community Health
Darrold Bertsch, CEO of Sakakawea Medical Center and Coal Country Community Health Center, Hazen, ND, discusses how a rural Critical Access Hospital (CAH) and Federally Qualified Health Center (FQHC) can work in an integrated and collaborative setting to provide better healthcare services to their communities.
Author(s): Matthew Weinstock
Date: 03/2014
Type: Video/Multimedia
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Medicaid Expansion and Section 1115 Waiver Demonstrations
Discusses provisions within Medicaid expansion and the section 1115 demonstration waivers approved, up until March 2014, that Federally Qualified Health Centers (FQHCs) should be aware of, including those in rural areas.
Date: 03/2014
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Access Is the Answer: Community Health Centers, Primary Care & the Future of American Health Care
Discusses health insurance coverage through the Affordable Care Act as only part of a healthier America. Access to healthcare by ensuring a regular, reliable source of quality preventive and primary healthcare is another separate part of the healthcare equation. Includes information on healthcare inadequacy in rural areas.
Date: 03/2014
Type: Document
Sponsoring organization: National Association of Community Health Centers
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The Role of Community Health Centers in Assessing the Social Determinants of Health for Planning and Policy: The Example of Frontier New Mexico
Discusses the use of the Tool for Health and Resilience in Vulnerable Environments (THRIVE) by a frontier-based community health center in New Mexico for evaluating and addressing social determinants of health.
Author(s): Sean Bruna, Lisa Cacari Stone, Susan Wilger, Jeremy Cantor, Carolina Guzman
Citation: Journal of Ambulatory Care Management, 37(3), 258-268
Date: 2014
Type: Document
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Effects of Patient-Centered Medical Home Attributes on Patients' Perceptions of Quality in Federally Supported Health Centers
Analyzes patient survey results that rated the quality of care and the patient-centered medical home attributes provided at federally supported health centers in both rural and urban locations.
Author(s): Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, et al.
Citation: Annals of Family Medicine, 11(6), 508-516
Date: 11/2013
Type: Document
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Removing Barriers to Care: Community Health Centers in Rural Areas
Discusses access to care in rural areas and reports that about half (48%) of community health centers in the United States are located in rural and frontier areas. Includes information on rural community health center patients and services.
Date: 10/2013
Type: Document
Sponsoring organization: National Association of Community Health Centers
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A Medical Home Framework for Increasing Cervical Cancer Screening Rates: Best Practices for FQHCs
This document features lessons and best practices from 14 FQHCs selected across seven states with leading rates for cervical cancer screening. It specifically incorporates the rural perspective and offers a case study from rural Maine.
Author(s): Christina Miller, Mary Takach
Date: 08/2013
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Essential Guides to Sustainability, Succession and Transition Planning
Provides training and technical assistance to rural and urban health centers on the importance of leadership succession planning. Document composed of three guides: 1) Organizational Sustainability Planning; 2) Executive Succession Planning; and 3) Executive Transition Management.
Date: 08/2013
Type: Document
Sponsoring organization: National Association of Community Health Centers
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A Needs-Based Method for Estimating the Behavioral Health Staff Needs of Community Health Centers
Analyzes data, from the 2010 Uniform Data System and 2010 National Survey on Drug Use and Health, to estimate the number of full time behavioral health providers are needed to serve the health centers’ growing patient population in rural and urban areas.
Author(s): Bridget Teevan Burke, Benjamin F. Miller, Michelle Proser, et al.
Citation: BMC Health Services Research, 13, 245
Date: 07/2013
Type: Document
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Health Centers’ Role in Reducing Health Disparities Among Asian Americans, Native Hawaiians, and other Pacific Islanders
Describes disparities among Asian American, Native Hawaiian, and other Pacific Islanders in rural and urban communities and how health centers can address these disparities.
Date: 05/2013
Type: Document
Sponsoring organizations: Association of Asian Pacific Community Health Organizations, National Association of Community Health Centers
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Practice Based Versus Telemedicine Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial
Reports on a research trial comparing patient outcomes between a practice-based and telemedicine based collaborative primary care models to address depression in rural Federally Qualified Health Centers (FQHCs). Includes data on both collaborative care models by patient characteristics, for example age, race/ethnicity, income, insurance, marital status, and more.
Author(s): John C. Fortney, Jeffrey M. Pyne, Sip B. Mouden, et al.
Citation: American Journal of Psychiatry, 170(4), 414-425
Date: 04/2013
Type: Document
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Community Health Centers in an Era of Health Reform: An Overview and Key Challenges to Health Center Growth, Executive Summary
Provides a snapshot of health centers, using data from 2011. Discusses effects that the Affordable Care Act were expected to have on health center growth in both urban and rural areas.
Date: 03/2013
Type: Document
Sponsoring organization: Kaiser Program on Medicaid and the Uninsured
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Increasing Access to Behavioral Health Care Through Technology
Presents insights on establishing a telebehavioral health program shared at a meeting convened by the U.S. Department of Health and Human Services (HHS) and the Health Resources and Services Administration’s (HRSA) Office of Special Health Affairs with participants from HRSA-funded health centers in urban and rural areas.
Date: 02/2013
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Quality Improvement, Collaboration, and Training
Summarizes innovative programs occurring in rural areas, featuring a medical home model, a Lean/Six Sigma hospital program, a community health center telehealth program, and a statewide behavioral health network.
Date: 2013
Type: Document
Sponsoring organization: National Rural Health Association
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Assessing Community Health Center (CHC) Assets and Capabilities for Recruiting Physicians: The CHC Community Apgar Questionnaire
Describes the evaluation instrument, CHC Community Apgar Questionnaire (CHC CAQ), developed for Idaho CHCs to use in physician recruitment with a focus on rural areas.
Author(s): Edward Baker, David Schmitz, Sean Wasden, Lisa MacKenzie
Citation: Rural and Remote Health, 12, 2179
Date: 12/2012
Type: Document
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Status of PPS Implementation in the Children's Health Insurance Program, State Policy Report #42
Reviews the progress since Children’s Health Insurance Program (CHIP) prospective payment system (PPS) implementation for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC). Highlights current efforts at the state level to implement CHIP PPS.
Author(s): Dawn McKinney, Asha Cesar, Adam Sampiev
Date: 11/2012
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Health Risk Behaviors in Insured and Uninsured Community Health Center Patients in the Rural US South
Examines the most common risk-taking behaviors of rural patients of Federally Qualified Health Centers (FQHC) and if risk-taking behaviors vary between insured and uninsured patients.
Author(s): K. Bryant Smalley, Jacob Warren, Jeffrey Klibert
Citation: Rural and Remote Health, 12, 2123
Date: 10/2012
Type: Document
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Community Health Centers and the Economy: Assessing Centers’ Role in Immediate Job Creation Efforts
Examines the economic benefits and jobs creation opportunities in rural and urban communities as a result of investments in community health centers.
Author(s): Sara Rosenbaum, Peter Shin
Date: 09/2011
Type: Document
Sponsoring organization: George Washington University Department of Health Policy and Management
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So You Want to Start a Health Center...?
Provides guidance for planning and implementing a new health center that meets Section 330 of the U.S. Public Health Service Act requirements. Includes instructions and links to tools that can be helpful when applying for federal funding and health center status.
Author(s): Pamela Byrnes, Jaime Hirschfeld
Date: 07/2011
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Collaboration and Federally Qualified Health Centers (FQHC)
Provides non-FQHC health care providers, including RHCs and CAHs, with an understanding of motivate factors for FQHCs to expand the number of service sites and provide non-FQHC reimbursed services, such as laboratory and other diagnostic services.
Date: 03/2011
Type: Document
Sponsoring organization: Stroudwater Associates
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Care Coordination Services and Payment for Rural Health Clinics (RHCs) and Federally-Qualified Health Centers (FQHCs)
Provides instructions for payment to RHCs billing under the all-inclusive rate and FQHCs billing under the prospective payment system for care coordination services provided to Medicare beneficiaries on or after January 1, 2018.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter G, Part 425: Medicare Shared Savings Program
Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for FQHCs and RHCs.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Center Program Compliance Manual
Identifies and explains key requirements of HRSA's Health Center Program. Designed to help health centers understand and demonstrate compliance with the Health Center Program requirements. Applies to all health centers that apply to or receive federal funds under the Health Center Program, authorized by section 330 of the Public Health Service (PHS) Act, and organizations designated as look-alikes.
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Chronic Care Management (CCM) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides instructions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) on how to submit claims for chronic care management services according to the RHC All-Inclusive Rate and the FQHC Prospective Payment System, effective January 1, 2016.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS State Operations Manual (SOM)
Provides guidance to state agencies that survey healthcare facilities and providers to determine if they are in compliance with the Medicare Conditions of Participation (CoP). Includes appendices with regulatory information specific to Critical Access Hospitals (Appendix W), and Federally Qualified Health Centers/Rural Health Clinics (Appendix G). Can be used by healthcare facilities as a tool to self-evaluate their compliance with Medicare CoP.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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ICD-10 Toolkit
Provides guidance and assistance to rural healthcare providers in making the transition from ICD-9 to ICD-10. This toolkit is designed to be used in conjunction with any coder or physician training that a rural hospital or clinic may be doing.
Type: Tool
Sponsoring organization: National Rural Health Resource Center
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HRSA Health Center and Look-Alike Site Directory
Allows users to search and generate a report identifying Federally Qualified Health Centers (FQHCs) and FQHC Look-Alikes by territory or state and county.
Type: Directory
Sponsoring organization: Health Resources and Services Administration
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Health Professional Shortage Area (HPSA) Application and Scoring Process
Provides an overview of the Health Professional Shortage Area (HPSA) designation application and scoring process, including discussing the scoring criteria. Covers additional criteria and guidelines specific to each of the three types of designations: primary care, dental and mental health.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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Find Shortage Areas by Address
Searchable tool for identifying Health Professional Shortage Areas (HPSAs), Medically Underserved Areas/Populations (MUA/P) by street address, city, and state or a street address and zip code.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide
Describes the information FQHCs are required to submit for a Prospective Payment System (PPS), and it explains how RHCs should bill for certain preventive services under the Affordable Care Act.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Billing Information for Rural Providers and Suppliers
Provides Medicare billing information by provider type and type of service, including information on where to submit claims. Includes information for Critical Access Hospitals, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), Skilled Nursing Facilities, Home Health Agencies, and Swing Bed services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Federally Qualified Health Center
Provides a general overview of FQHCs and includes a list of helpful rural health resources and websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Economic Impact: Tools and Templates
Access tools and templates for studying the economic impact, in rural areas, of FQHCs, Critical Access Hospitals, different health care providers, the social service sector, Medicaid, medical schools, and telemedicine.
Type: Website
Sponsoring organization: National Center for Rural Health Works
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Community Health Centers Leveraging the Social Determinants of Health
Provides an overview of how community health centers (CHCs) are working to address the social, economic, and physical conditions that impact their patients' health. Presents 10 case studies, including several rural examples, of CHCs addressing the social determinants of health.
Additional links: Full Report, 2012
Type: Website
Sponsoring organization: Institute for Alternative Futures
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Federal Tort Claims Act
Information on the application and reporting processes for HRSA-supported health centers with malpractice insurance through the Federal Tort Claims Act.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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Uniform Data System (UDS) Mapper
Illustrates the geographic reach, penetration, and growth of the Section 330-funded Health Center Program (HCP) and its relationship to other federally-linked health resources. Provides data on health centers and their service areas, as well as population indicators. Also includes access to Mapping Areas of Priority for Medication-Assisted Treatment (MAP for MAT), with data identifying areas of high need and services available related to the opioid epidemic. Free, but registration is required.
Type: Map/Mapping System
Sponsoring organizations: American Academy of Family Physicians, Robert Graham Center
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Chronicles Project: The Community Health Center Story
Presents the history of community health centers in rural and underserved areas with health centers telling their stories.
Type: Website
Sponsoring organization: RCHN Community Health Foundation
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Regional Migrant Health Coordinators and Special Populations Points-of-Contact
Directory of coordinators who serve as points of contact for migratory and seasonal agricultural workers, people experiencing homelessness, and residents of public housing. Coordinators are located at state Primary Care Associations.
Type: Directory
Sponsoring organization: National Center for Farmworker Health
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PubMed Search: Federally Qualified Health Centers
Searches PubMed's collection of journal article citations on the topic of Federally Qualified Health Centers (FQHCs).
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Health Center Program Requirements
Provides links to key health center program requirements, links to relevant regulations, and the health center program compliance manual.
Type: Website
Sponsoring organization: Bureau of Primary Health Care
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Community Health Center State-Level Data and Maps
Provides state-level data on health center patients, services provided, staff, patient visits, and costs of care.
Type: Website
Sponsoring organization: National Association of Community Health Centers
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CMS Medicare Administrative Contractors
Provides information and resources concerning the Part A/Part B Medicare Administrative Contractors (MACs).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Center Program Look-Alikes
Information on Health Center Program look-alikes, including an overview of the purpose and benefits, as well as information on how to apply and resources for current Health Center Program look-alikes.
Type: Website
Sponsoring organization: Bureau of Primary Health Care
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CMS Federally Qualified Health Centers (FQHC) Center
Provides links to manuals, billing codes, enrollment and certification information, legislation, regulations, and contacts related to Medicare and Medicaid services in Federally Qualified Health Centers.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Developing and Implementing a Discount Fee Schedule
Basic information for clinics and health centers about developing and implementing a sliding fee schedule for low-income populations.
Type: Website
Sponsoring organization: National Health Service Corps
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State Primary Care Offices Directory
Contact information for state Primary Care Offices (PCOs). These offices can provide shortage designation application help and shortage information, as well as information on the Conrad 30 J-1 Visa Waiver program, loan repayment programs, and recruitment and retention.
Type: Directory
Sponsoring organization: Bureau of Health Workforce
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State and Regional Primary Care Associations Directory
Lists address, phone, email, and web addresses for state and regional Primary Care Associations (PCAs). PCAs work to promote, expand, and optimize access to primary care.
Type: Directory
Sponsoring organization: National Association of Community Health Centers
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Public Health Service Act, Section 330
Section 330 of the Public Health Service (PHS) Act defines the requirements for Health Centers. Title 42 of the U.S. Code, Chapter 6A is the Public Health Service Act, and section 254b is the equivalent of Section 330 of the PHS Act.
Type: Document
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Health Center Program Policies
Links to current Bureau of Primary Health Care (BPHC) Program Information Notices (PINs) defining policies and procedures Section 330 funded health center grantees must follow, and provides links to Program Assistance Letters (PALs) summarizing program activities, newly enacted laws, and final regulations of interest to health centers.
Type: Website
Sponsoring organization: Bureau of Primary Health Care
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Find a Health Center
Allows users to search for community health centers, including Federally Qualified Health Centers and other Bureau of Primary Health Care service delivery sites, by location. These health centers provide free and low-cost health services such as: primary medical, obstetrical and gynecological, dental, mental health and substance abuse care.
Type: Directory
Sponsoring organization: Bureau of Primary Health Care
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MUA Find
Search for Medically Underserved Areas and Populations (MUAs/MUPs). Allows searching by state, county, or ID number. Includes designation status and date.
Type: Database
Sponsoring organization: Health Resources and Services Administration
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 7/18/2018