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The Fundamentals of Developing a FQHC APM

Resource Topic: Finance, Operations

Resource Subtopic: Patient-Centered Medical Home.

Keywords: Medicaid , Payment and Reform.

Year Developed: 2017

Resource Type: Archived Webinar

Primary Audience: n.a.

Language: n.a.

Developed by: National Association of Community Health Centers (See other resources developed by this organization).

Resource Summary: This webinar provides the basis for developing capitated FQHC APM and some best practices.

Resource Details: In recognition of the critical role health centers play and the value that they deliver for Medicaid beneficiaries, Congress created a specific payment methodology for them, known as the FQHC Prospective Payment System (PPS). To provide increased flexibility, the law also allows states to design and implement an alternative payment methodology (FQHC APM). As of 2017, over 20 states have chosen to use a FQHC APM to reimburse health centers for primary care and preventative services provided to Medicaid patients. An increasing number of health centers, in partnership with their primary care association, are utilizing the flexibility within federal Medicaid law to develop FQHC APMs that allow for a more transformative use of the medical home. With support from the Robert Wood Johnson Foundation, NACHC partnered with Curt Degenfelder to develop a toolkit for primary care associations and health centers to support the development of new FQHC APMs. The FQHC Alternative Payment Methodology Toolkit: Fundamentals of Developing a Capitated FQHC APM provides foundational knowledge and best practices for developing a capitated FQHC APM. Join us for the official launch of the toolkit and a conversation on key decisions that need to be made when developing a capitated FQHC APM on Thursday September 14 at 3:30pm ET.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,375,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.