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.
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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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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Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter G, 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.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Center Service Delivery and LookâAlike Sites
Provides downloadable files listing Health Center Program awardees and look-alikes. Includes location fields for states and counties.
Type: Directory
Sponsoring organization: Health Resources and Services Administration
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Provides downloadable files listing Health Center Program awardees and look-alikes. Includes location fields for states and counties.
Type: Directory
Sponsoring organization: Health Resources and Services Administration
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Scoring Shortage Designations
Provides an overview of the Health Professional Shortage Area (HPSA) designation scoring criteria, as well as Maternity Care Target Areas (MCTAs). Covers additional criteria and guidelines specific to each of the three types of designations: primary care, dental and mental health. Also covers scoring criteria for the Medically Underserved Area and Medically Underserved Population (MUA/P) designation.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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Provides an overview of the Health Professional Shortage Area (HPSA) designation scoring criteria, as well as Maternity Care Target Areas (MCTAs). Covers additional criteria and guidelines specific to each of the three types of designations: primary care, dental and mental health. Also covers scoring criteria for the Medically Underserved Area and Medically Underserved Population (MUA/P) designation.
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) and 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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Searchable tool for identifying Health Professional Shortage Areas (HPSAs) and 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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Medicare Learning Network: Rural Providers & Suppliers Billing
Provides Medicare billing information by provider type and type of service, including information on where to submit claims. Includes information for Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Home Health Agencies, Rural Health Clinics (RHCs), Skilled Nursing Facilities, and Swing Bed services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides Medicare billing information by provider type and type of service, including information on where to submit claims. Includes information for Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Home Health Agencies, Rural Health Clinics (RHCs), Skilled Nursing Facilities, 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 Federally Qualified Health Centers (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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Provides a general overview of Federally Qualified Health Centers (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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CMS Regional Office Rural Health Coordinators
The list of CMS regional rural health coordinators who provide technical, policy, and operational assistance on rural health issues. Located below information on Rural Health Open Door Forums and Medicare Learning Network publications.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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The list of CMS regional rural health coordinators who provide technical, policy, and operational assistance on rural health issues. Located below information on Rural Health Open Door Forums and Medicare Learning Network publications.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: Bureau of Primary Health Care
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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: Bureau of Primary Health Care
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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) published in the U.S.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Searches PubMed's collection of journal article citations on the topic of Federally Qualified Health Centers (FQHCs) published in the U.S.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Last Updated: 9/10/2024