NACHC is excited to share several new and updated Medicaid-related resources for Community Health Centers and Primary Care Associations (PCAs). NACHC coordinated with Feldesman Tucker Leifer Fidell to create or update resources to reflect changes in policies and experiences we heard from health centers and PCAs. The new and updated resources include:
- Medicaid FQHC PPS Checklist: This updated tool will help health centers and PCAs ensure that their Medicaid FQHC Prospective Payment System (PPS) is properly developed and meeting federal requirements. It includes an overview of the federal statute governing PPS as well as helpful questions for health centers to consider.
- Emerging Issues in the FQHC Medicaid Prospective Payment System: This issue brief looks at the top issues facing health centers and PCAs, including change in scope, Medicaid managed care and supplemental payment issues and health center participation in Medicaid payment reform initiatives.
- Defining an Effective Medicaid Change in Scope Rate Adjustment Process for FQHCs: This issue brief takes a closer look at the change in scope process, providing an overview of the federal statute guiding the process, as well as questions for health centers and PCAs to consider as the state is establishing the process.
- Supplemental Payments to FQHCs for Services Provided Under Medicaid Managed Care: This issue brief takes an in-depth look at the policy and issues surrounding health centers and Medicaid managed care supplemental payments (also known as the “wrap-around”).
Do you have questions about these resources or any other Medicaid issues? Contact us at state@nachc.org.
This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS16089, Technical Assistance to Community and Migrant Health Centers and Homeless for $6,375,000.00. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.