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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.

Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of March 2025, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 02/2026
Sponsoring organization: Centers for Medicare & Medicaid Services
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"Sacred Ground for Kids": Institutional Perspectives on Rural School-Based Health Centers as Patient-Centered Medical Homes
Presents a study on the role school-based health centers (SBHCs) play in providing care to children in rural counties and explores the potential for SBHCs to function as patient-centered medical homes (PCMHs) for rural students. Highlights findings from interviews in four rural counties in New York and identifies challenges for SBHCs functioning as a PCMH.
Author(s): Xue Zhang, Mildred E. Warner
Citation: Journal of Rural Health, 41(4), e70098
Date: 12/2025
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Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers
Describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Identifies the rules and regulations for processing Medicare claims.
Date: 12/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)
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 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare & Medicaid Services
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Community Health Centers and Rural Health: Essential Access, Enduring Challenges
Discusses the role community health centers (CHCs) play in delivering primary care in rural areas. Describes the challenges rural CHCs face and strategies to stabilize and strengthen these facilities. Includes data on the rural CHC workforce and the percentage of all CHC patients served by a rural CHC by state. Compares healthcare quality, the percent of medical and mental health visits that were virtual, and the percent of patients with select chronic conditions by rural and urban location.
Date: 09/2025
Sponsoring organizations: National Association of Community Health Centers, WWAMI Rural Health Research Center
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Health Center Performance Improvement Toolkit
Offers a framework to support health center performance improvement and health outcomes across seven domains. Includes a guide to self-assessment to help health centers assess their current performance in each domain, describe future performance goals, and identify how to reach and sustain improved performance. Offers self-assessment tools, including fillable checklists for each domain, progress snapshot worksheets, and example improvement activities.
Additional links: Guide to Self-Assessment, Self-Assessment Tools
Date: 09/2025
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 preserving access to affordable primary care, addressing emergent public health needs, and driving quality improvement.
Date: 08/2025
Sponsoring organization: Bureau of Primary Health Care
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The Rural Health Center Landscape: Data, Challenges, & Insights
Recording of a June 10, 2025, webinar discussing unique financial and operational challenges that rural health centers face. Covers health center growth and expansion, patient and payer mix, financial performance, staffing mix, and more. Compares data on rural FQHCs to urban and national FQHC data 2020-2023. Features a discussion with William Edwards, chief financial officer of G.A. Carmichael Family Health Center in Canton, Mississippi.
Additional links: Presentation Slides
Date: 06/2025
Sponsoring organization: Capital Link
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School-Based Health Centers and the Utilization of Primary Care in Rural Communities
Examines utilization patterns of school-based health centers (SBHCs) in 4 rural New York counties. Utilizes 2011–2017 electronic health record data to analyze students with or without access to SBHCs, utilization of SBHCs, and SBHC services used, such as primary care, immunizations, and chronic disease management.
Author(s): Xue Zhang, Sharon Tennyson, Chris L Kjolhede, Wendy M Brunner
Citation: American Journal of Preventative Medicine, 69(4), 107962
Date: 06/2025
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National Health Center Financial and Operational Performance Analysis: 2020–2023
Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2020-2023. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, staffing and productivity, operational trends, financial performance, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 06/2025
Sponsoring organization: Capital Link
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