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.
Federally Qualified Health Centers Financial and Operational Performance Analysis 2019-2022
Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2019-2022. Explores FQHC growth and expansion, patient and payer mix, financial performance, revenue and growth mix, quality of care, staffing, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 2024
Type: Document
Sponsoring organization: Capital Link
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Examines financial and operational characteristics of Federally Qualified Health Centers (FQHCs) from 2019-2022. Explores FQHC growth and expansion, patient and payer mix, financial performance, revenue and growth mix, quality of care, staffing, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 2024
Type: Document
Sponsoring organization: Capital Link
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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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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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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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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: 10/2023
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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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: 10/2023
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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Availability of Primary Care Safety Net Providers in Minoritized Racial/Ethnic Group Areas
Explores the availability of primary care safety net providers - Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) - nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition in 2020. Provides data on the median distance to any FQHC by ZCTA urban-rural status and minoritized ethnic and racial group (MRG) category, as well as the median distance to an RHC by MRG ZCTA status among rural ZCTAs.
Author(s): Melinda A. Merrell, Whitney E. Zahnd, Gabriel A. Benavidez, et al.
Date: 08/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Explores the availability of primary care safety net providers - Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) - nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition in 2020. Provides data on the median distance to any FQHC by ZCTA urban-rural status and minoritized ethnic and racial group (MRG) category, as well as the median distance to an RHC by MRG ZCTA status among rural ZCTAs.
Author(s): Melinda A. Merrell, Whitney E. Zahnd, Gabriel A. Benavidez, et al.
Date: 08/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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America's Health Centers
Fact sheet with basic information about Federally Qualified Health Centers (FQHCs) and look-alikes in rural and urban areas. Includes data on the patients they serve and FQHCs' economic impact on a community.
Date: 08/2023
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Fact sheet with basic information about Federally Qualified Health Centers (FQHCs) and look-alikes in rural and urban areas. Includes data on the patients they serve and FQHCs' economic impact on a community.
Date: 08/2023
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Capital Planning for Addressing Rural Health Needs
Recording of a June 2023 webinar discussing the connection between rural health topics and facility design. Profiles Desert Sage Health Center, a health center serving rural Idaho, and how it tailored the structure of its new facility to suit community needs. Outlines costs that should be considered when planning a capital project and how those costs may present unique challenges in rural areas. Free registration is required to access the webinar recording.
Additional links: Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Capital Link
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Recording of a June 2023 webinar discussing the connection between rural health topics and facility design. Profiles Desert Sage Health Center, a health center serving rural Idaho, and how it tailored the structure of its new facility to suit community needs. Outlines costs that should be considered when planning a capital project and how those costs may present unique challenges in rural areas. Free registration is required to access the webinar recording.
Additional links: Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Capital Link
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Training the Primary Care Workforce to Deliver Team-Based Care in Underserved Areas: The Teaching Health Center Program
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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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: 06/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Identifies the rules and regulations for processing Medicare claims.
Date: 06/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) issued in response to the COVID-19 pandemic. Includes information on payments for telehealth services, COVID-19 vaccines, therapeutics, and more. Identifies whether each waiver or flexibility was terminated, ended at the conclusion of the public health emergency, was extended, or became permanent.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Outlines specific regulatory waivers and Medicare flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) issued in response to the COVID-19 pandemic. Includes information on payments for telehealth services, COVID-19 vaccines, therapeutics, and more. Identifies whether each waiver or flexibility was terminated, ended at the conclusion of the public health emergency, was extended, or became permanent.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 6/28/2024