Quick Finds: Finance

How are we going to pay for it? Developing a Budget and Identifying Funding for my Health Center’s Medical-Legal Partnership: Health Center MLP Planning, Implementation & Practice (PIP) Webinar Series-Part 1, Conversation 4 (2024). Resource Type: Archived Webinar. Description: Another installment of the Health Center Medical-Legal Partnership (MLP) Planning, Implementation, and Practice (PIP) webinar series, explored the burning question: “How are we going to pay for it?”. It will help participants answer that question by learning how to develop a comprehensive budget and identify sources of funding for their MLP. More Details...

2024 Coding & Documentation Webinar Series, Part 2: ICD-11 Readiness, HCC Risk Adjustment, & SDOH Coding Webinar (2024). Resource Type: Archived Webinar . Description: This webinar reviews the definitions, documentation, and coding requirements for reporting both Hierarchical Condition Categories (HCC) and Social Determinants of Health (SDOH) to support accurate coding capture for reporting on CHC claims now and in the future. More Details...

2024 Coding and Documentation Webinar Series, Part 1 (2024). Resource Type: Archived Webinar. Description: In this webinar session, we will review opportunities for Community Health Centers to improve their clinical documentation, professional coding, and medical billing, focusing on the unique CMS rules and regulations we face when reporting our valuable health services to various insurance entities. More Details...

Status of State-Level Medicaid Benefits for Medical Respite Care (2024). Resource Type: Publication. Description: This issue brief is intended to provide a current snapshot of the state-level Medicaid activity related to medical respite care. As often as possible, the exact language used in the Medicaid waiver requests has been included in this brief. More Details...

CalAIM Implementation of Recuperative Care Services: Lessons Learned (2024). Resource Type: Publication. Description: The purpose of this issue brief is to document what is working well with the implementation of the CalAIM recuperative care service to date, what remains a challenge, action steps California should consider moving forward, and advice for other states looking to add a statewide Medicaid benefit for recuperative care. This issue brief is based on interviews with leadership and staff at eight recuperative care programs, as well as several hospitals and MCPs from across the state (see appendix for list of participants). These interviews took place between June and August 2023, and their feedback is presented in the sections below. More Details...

Webinar: Strategic Planning: Preparing in Times of Uncertainty (2023). Resource Type: Archived Webinar. Description: This training assists health centers in preparation for changes and growth through various strategic planning methods and ideas. By utilizing Capital Link’s publication, the Strategic Business Planning Handbook for Health Centers, we guide participants through the three key components of the strategic planning process and provide tools and information based on extensive experience working with health centers, as well as readily available external resources. More Details...

HRSA Loan Guarantee Program, An Overview for Lenders (2023). Resource Type: Publication. Description: This resource provides an overview of the HRSA Loan Guarantee Program for Lenders, updated from 2019. More Details...

HRSA Loan Guarantee Program, An Overview for Health Centers (2023). Resource Type: Publication. Description: This resource, updated from a previous version, provides an overview of the HRSA Loan Guarantee Program for Health Centers. More Details...

HRSA Health Center Facility Loan Guarantee Program: A Handbook for Lenders (2023). Resource Type: Publication. Description: This resource is an updated version of Capital Link's 2021 HRSA Health Center Facility Loan Guarantee Program: A Handbook for Lenders under the same name. More Details...

Health Center Fundraising: Requirements and Strategies to Achieve Compliance (2023). Resource Type: Publication. Description: This information bulletin provides an overview of the potential pitfalls that health center fundraising campaigns should avoid and suggests strategies for conducting a fundraising campaign in compliance with applicable law. More Details...

Establishing a Related Foundation: Does it Make Sense for a Health Center? (2023). Resource Type: Publication. Description: This issue brief discusses the reasons that a health center may want to establish a “related foundation” and addresses how a health center can establish a related foundation, including the measures that should be taken to minimize risk to the health center in doing so. More Details...

Finance Office Hours: Evaluating Sliding Fee Discount Programs (2023). Resource Type: Archived Webinar. Description: This webinar was developed to support health centers as they work through the sliding fee discount utilization assessment tool developed by the National Association of Community Health Center’s (NACHC). This tool was designed to support health center compliance with Chapter 9, Element L of the Health Center Program Compliance Manual published by the Health Resources and Services Administration or HRSA. More Details...

Eyes on Access: Billing for Vision Services (2023). Resource Type: Archived Webinar. Description: This is a continuation of the 2022 vision services webinar series. With a deep dive into billing for vision services, this webinar series addresses how health centers can align their billing procedures for vision services with their existing service lines. More Details...

Community Health Center Chartbook: 2023 (2023). Resource Type: Publication. Description: The annual Community Health Center Chartbook highlights data on Federally Qualified Health Centers, including Health Center Program Grantees and Look-alike organizations. The chartbook includes summary data on health center patients, services, staffing, quality outcomes, and impact on access to care and health equity. More Details...

Sample Capital Project Timeline and Budget for Health Centers (2023). Resource Type: Publication. Description: Capital projects become more manageable when health centers follow a methodical process of capital planning and budgeting. This resource provides a helpful outline of an optimal and realistic time frame and budget for FQHC capital projects. (Released in 2023) More Details...

Funding for Grant Programs Supporting the Health Care for the Homeless Community (2023). Resource Type: Publication. Description: Table showing funding for grant programs supporting the Health Care for the Homeless community. More Details...

Webinar: HRSA's Loan Guarantee Program: An Overview (2023). Resource Type: Archived Webinar. Description: This webinar provides an overview of the benefits, eligibility, and application process of the Health Resources and Services Administration (HRSA) Health Center Facility Loan Guarantee Program (LGP). More Details...

2023 FY Spending Bill and the Medicaid Unwinding: Implications for the HCH Community (2023). Resource Type: Publication. Description: This fact sheet describes how the HCH Community should prepare for Medicaid redeterminations which will resume by April 1, 2023. More Details...

Capital Expansion for Health & Housing Webinar - Everything You Need to Know (2023). Resource Type: Archived Webinar. Description: This national webinar will assist health centers in understanding the basics of health and housing capital expansion and essential first steps for project development. More Details...

Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021 (2023). Resource Type: Publication. Description: This report, prepared by Capital Link with support from the Health Resources and Services Administration (HRSA), provides an aggregate financial and operational profile of rural Federally Qualified Health Centers. The report offers a framework for identifying the financial strengths, challenges, and benchmarks that support opportunities for rural FQHC performance improvement through an examination of multi-year trends and median results. (Released in 2023) More Details...

Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021 (2022). Resource Type: Publication. Description: This report, prepared with support from the Health Resources and Services Administration, provides an aggregate financial and operational profile of Federally Qualified Health Centers nationally from 2018 to 2022. (Released in 2022) More Details...

Decision Tree for Financing a Health Center Facility (2022). Resource Type: Archived Webinar. Description: In this session, we review our capital project financing Decision Tree resource and discuss all the key resources needed in getting your project on the road to success. More Details...

Guide to Attracting Funding Resources to Address Social Determinants of Health Needs (2022). Resource Type: Publication. Description: This Guide to Attracting Funding Resources to Address Social Determinants of Health Needs will explore, from the community health center perspective, approaches to attract investments in SDOH that meet common, critical patient needs such as housing. More Details...

Mobile Health Care Learning Series: Safety and Security - Addressing External Risk Factors, Safety and Security – Addressing Internal Risk Factors, Models for Mobile Health Billing (2022). Resource Type: Archived Webinar. Description: Mobile health care providers understand the value of meeting patients in their own environment on their own terms. However, this adaptability and flexibility must be supported by policies and procedures that ensure the safety and security of patients and staff in a trauma informed manner. Join us as we explore the mobile health safety and security concerns raised by our community partners and the strategies created to address these concerns and support the physical and mental health needs of patients and staff. More Details...

Telehealth Office Hours: Telehealth Reimbursement (2022). Resource Type: Archived Webinar. Description: NACHC Telehealth Office Hours targets health center, PCA, and HCCN staff who have questions or want to share information about telehealth related policy and operational activities. In addition to updates and Q&A, each session will focus on a specific topic of concern. More Details...

Business Continuity Planning Interactive Learning Modules (2022). Resource Type: E-Learning. Description: These interactive learning modules are intended to provide community health centers and primary care associations with self-guided learning tools to create and/or improve their business continuity plans and programs. More Details...

Capital Financing Strategies for Rurally-Located Health Centers Webinar (2022). Resource Type: Archived Webinar. Description: In this webinar, we explore the financing strategies available to rurally-located health centers considering a capital expansion project. Various financing opportunities, including targeted programs such as the USDA, New Markets Tax Credits, and the HRSA Heath Center Facilities Loan Guarantee Program, are discussed. We also highlighted the recent capital expansion project of El Dorado Community Health Center (EDCHC), a rurally-located center serving several mountain communities in El Dorado County, CA. More Details...

Serving Veterans in Health Centers: Veterans and the Community Care Network (CCN): A Fact Sheet and Toolkit for FQHCs (2022). Resource Type: Toolkit. Description: This 2-page fact sheet and comprehensive toolkit are designed to orient FQHC Administrators to the enrollment requirements and program benefits of the Community Care Network, administered by the US Veterans Health Administration. More Details...

Financing Decision Tree Model for Health Center Capital Projects (2022). Resource Type: Publication. Description: The Decision Tree resource is a visual map to aid in deciding which financing options would best suit your capital project requirements, that also provides a summary description of each. (Released 2022) More Details...

Primer on Health Center Pharmacy Operations (2022). Resource Type: Publication. Description: The purpose of this resource is to orient new readers to pharmacy operations at health centers with a specific call-out section for the 340B program. Target audiences are health center C-Suite, Board Members, new health center 340B program staff, pharmacy leaders and new health center staff. More Details...

Manufacturer Restrictions on Contract Pharmacies (2022). Resource Type: Publication. Description: This NACHC Brief explains how Gilead’s new “Contract Pharmacy Integrity Initiative” leads to manufacturer restrictions which require health centers and other covered entities to provide claims-level data from contract pharmacies. Merck has recently included Federally Qualified Health Centers (FQHCs) in their contract pharmacy restrictions when previously only hospital covered entities were impacted. Restrictions do not apply to in-house/entity owned pharmacies. More Details...

Addressing COVID-19’s Impact on Health Centers’ Finance and Operations and Response Planning for Future COVID-19 Outbreaks and Other Emergencies (2022). Resource Type: Archived Webinar. Description: This learning collaborative guides participants through the challenges and solutions for addressing the financial and operational impacts of COVID-19 on health centers serving residents of public housing and other underserved communities, with an emphasis on applied response planning for future emergencies. More Details...

Leveraging Federal Recovery Money to Maintain and Expand Health Center Services and Partnerships: Substance Use and Mental Health Services Administration (SAMSHA) (2022). Resource Type: Publication. Description: States and localities have significant new funding via the CARES Act and the American Rescue Plan Act. This brief is part of a series that will describe in detail the SAMSHA funding sources, the differing processes by which funding becomes available at the state and local level, and the planning and stakeholder input process each funding stream requires before awarding or implementing funds. More Details...

Webinar: Health Centers' Experiences Utilizing the HRSA Loan Guarantee Program (2022). Resource Type: Archived Webinar. Description: This webinar provides a discussion on lender and health center perspectives and experiences with the HRSA Health Center Facility Loan Guarantee Program (LGP). We share updates and insights on the program using examples from health centers we’ve worked with that have successfully closed capital project financings using HRSA loan guarantees. Brandon Boyle, Director of Loan Programs at Capital Fund, our lending affiliate, discusses the process and experience of utilizing the HRSA LGP from the lender viewpoint. More Details...

Health Centers’ Experiences Utilizing the HRSA Loan Guarantee Program Webinar (2022). Resource Type: Archived Webinar. Description: Discussion on lender and health center perspectives and experiences with the HRSA Health Center Facility Loan Guarantee Program (LGP). We share updates and insights on the program using examples from health centers we’ve worked with that have successfully closed capital project financings using HRSA loan guarantees. Brandon Boyle, Director of Loan Programs at Capital Fund, our lending affiliate, discusses the process and experience of utilizing the HRSA LGP from the lender viewpoint. More Details...

Eyes on Access: Steps for Integrating Comprehensive Eye Health and Vision Services into Health Centers (2022). Resource Type: Archived Webinar. Description: This is a Part 2 archive of a 2-part webinar series in Spring 2022 that reviewed the operational activities necessary to implement or enhance vision services in a health center. Learners reviewed planning factors such as provider configuration, cost, volume and supervision. More Details...

National Capital Grants Infographic for FQHCs (2022). Resource Type: Publication. Description: Utilizing FY2021 American Rescue Plan – Health Center Construction and Capital Improvements (ARP-Capital, C8E) data, Capital Link prepared a National Capital Grants for FQHCs Value & Impact infographic to show the impact of the projects on their communities. Economic impact was measured using 2019 IMPLAN Online. (Released 2022) More Details...

Finance Office Hours: No Surprises Act: Developing Your Good Faith Estimate (2022). Resource Type: Archived Webinar. Description: Starting January 1, 2022, The No Surprises Act requires all health care providers and facilities to provide uninsured and self-pay patients with a “good faith estimate” of expected charges before a patient receives services. This webinar reviews the regulatory requirements under the No Surprises Act and best practices for implementing the good faith estimate into your health center’s workflow. More Details...

Estimating Health Center Project Costs - Webinar (2022). Resource Type: Archived Webinar. Description: This webinar will review our new publication, \"Estimating Health Center Project Costs,\" which outlines the main components of a capital project budget and provides assistance in estimating top-line construction costs. More Details...

Estimating Health Center Project Costs (2022). Resource Type: Publication. Description: This publication outlines the main components of a capital project budget and provides assistance in estimating top-line construction costs. More Details...

Designing Your Facility: Preparing Your Team for Space Planning Success (2022). Resource Type: Publication. Description: This publication walks health center leadership through the process of defining, preparing, and equipping internal planning teams to work effectively with design and construction teams in defining a flexible, efficient facility that reflects the health center’s unique goals and priorities. Capital Link also discussed space planning in the recent webinar titled \"Designing Your Facility: Preparing Your Team for Space Planning Success.\" Released in 2022. More Details...

Project Highlight: Grace Health (2022). Resource Type: Publication. Description: This case study describes the unique capital financing structure utilized by Grace Community Health Center, dba Grace Health, in southeastern Kentucky for the development of a nearly two-acre community health center medical campus project. The project was financed using both New Market Tax Credits and a HRSA Loan Guarantee—adding complexity to the structure—but enabling the financing to proceed as planned. More Details...

Pharmacy Office Hour: Increasing your In-House Capture Rate Part II (2022). Resource Type: Archived Webinar. Description: The March office hours revisits the topic of “Increasing your in-house capture rate”. One of the presenters from the December session shares more of his process for increasing prescription capture. We also discuss Med Sync as a service that could increase patient compliance and satisfaction while improving pharmacy workflow. More Details...

Designing Your Facility: Preparing Your Team for Space Planning Success - Webinar (2022). Resource Type: Archived Webinar. Description: Based on our new publication, “Designing Your Facility: Preparing Your Team for Space Planning Success,” this webinar will walk health center leadership through the process of defining, preparing, and equipping internal planning teams to work effectively with design teams in defining a flexible, efficient facility that reflects your health center’s unique goals and priorities. More Details...

NNOHA Community Health Center Workforce Survey: Analysis of 2021 Results (2022). Resource Type: Publication. Description: This publication summarizes the findings of the NNOHA 2021 Workforce Survey. The purpose of the survey was to provide information and analysis on dental team member salaries, satisfaction, and recruitment and retention strategies in health centers throughout the country. More Details...

Optimizing People, Place, and Process in Planning Your Facility for Integrated Care (2022). Resource Type: Archived Webinar. Description: This webinar will provide an overview of the most important factors to consider when planning a facility that will accommodate various models of integrated care. Drawing from our publication, “Tools for Creating an Environment that Supports Integration,” released in 2020 and the recently released, “Optimizing People, Place and Process: Resources to Facilitate Integrated Care in FQHCs,” we’ll present guiding principles for creating a place in which integrated care teams can work effectively with each other and the patients they serve. More Details...

Billing, Coding, Documentation & Quality Series, Part II: Treating Substance/Opioid Use Disorders via Medication-Assisted Treatment (MAT) in Community Health (2022). Resource Type: Archived Webinar. Description: This webinar from 1/27/22 outlines the steps needed to effectively document, code, and bill for services including screening for SUD/OUD and providing care during the induction, stabilization, and maintenance phases of MAT. Individual state Medicaid issues are too numerous and will not be specifically referred to on a state-by-state basis. More Details...

Billing, Coding, Documentation & Quality Series, Part I: Top 10 Documentation and Revenue Tips in Community Health (2022). Resource Type: Archived webinar. Description: This session from 1/20/22 provides a review of opportunities for Community Health Centers to improve clinical documentation, professional coding, and medical billing with a focus on the unique CMS rules and regulations for reporting health services to various insurance entities. Significant attention will be paid to how staff can work together to balance clinical and business goals. Webinar content is presented from the perspective of a CMS-approved federally qualified Health Center with a focus on details found within CMS Claims/Benefits Manuals Chapters 9 and 13. More Details...

Statewide Medicaid Benefit for Medical Respite Care: Issues Informing Benefit Design and Implementation (2022). Resource Type: Publication. Description: The Centers for Medicare and Medicaid Services (CMS) have encouraged states to consider how to address social determinants of health in their Medicaid plans. Washington State Health Care Authority recognizes the benefits of a statewide MRC service, and is proposing it as part of Washington State’s Medicaid Transformation Project Section 1115 Demonstration Renewal Request as a health-related service for Apple Health enrollees in both managed care and FFS delivery systems. More Details...

Expanding Options for Health Care Within Homelessness Services: CoC Partnerships with Medical Respite Care Programs (2022). Resource Type: Publication. Description: A brief to improve health care quality and outcomes for people experiencing homelessness during the COVID-19 response by strengthening partnerships between homelessness assistance systems and medical respite care (MRC) providers. This brief features the views of both Continuums of Care (CoCs) and MRC staff about how to best integrate operations at the systemic level, as well as featuring a community spotlight on the CoC-MRC partnership in Yakima, Washington. More Details...