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Medicaid FQHC PPS Checklist

Resource Topic: Finance, Practice Transformation
Resource Subtopic: Medicaid

Year Developed: 19

Resource Type: Publication

Primary Audience: PCAs
Secondary Audience: Administrative Staff C-Suite (CEOs, CFOs, CIOs, COOs, CMOs, etc)

Language: English

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

Resource Summary: This resource outlines important information regarding the Medicaid FQHC Prospective Payment System. Federal law requires that State Medicaid agencies pay federally-qualified health centers (FQHCs or “health centers”) using a prospective payment system (PPS). This Medicaid FQHC Prospective Payment System Checklist is designed to assist FQHCs and Primary Care Associations (PCAs) in assessing FQHCs’ PPS rates and in pursuing strategies to make the PPS methodology work better.

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.