Federally Qualified Health Center

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A Federally Qualified Health Center (FQHC) is a reimbursement designation from the Bureau of Primary Health Care and the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services. This designation is significant for several health programs funded under the Health Center Consolidation Act (Section 330 of the Public Health Service Act).

Funded programs[edit]

Health programs funded include:

FQHCs are community-based organizations that provide comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status. Thus, they are a critical component of the health care safety net.[2] FQHCs are called Community/Migrant Health Centers (C/MHC), Community Health Centers (CHC), and 330 Funded Clinics.

Leadership[edit]

FQHCs operate under a consumer Board of Directors governance structure and function under the supervision of the Health Resources and Services Administration (HRSA), which is part of the United States Department of Health and Human Services (HHS). FQHCs were originally meant to provide comprehensive health services to the medically underserved to reduce the patient load on hospital emergency rooms.

Their mission has changed since their founding. Their mission now is to enhance primary care services in underserved urban and rural communities.[3] In particular, they serve underserved, underinsured, and uninsured Americans, including migrant workers and non-U.S. citizens. [4]

FQHCs provide their services to all persons regardless of ability to pay, and charge for services on a community board approved sliding-fee scale that is based on patients' family income and size. FQHCs must comply with Section 330 program requirements.

In return for serving all patients regardless of ability to pay, FQHCs receive consideration from the Federal government in the form of a cash grant, cost-based reimbursement for their Medicaid patients, and free malpractice coverage under the Federal Tort Claims Act (FTCA).

FQHC Look-Alikes[edit]

The government also designates a category of health centers as "FQHC Look-Alikes." These health centers do not receive grants under Section 330 but are determined by the Secretary of the Department of Health and Human Services (HHS) to meet the requirements for receiving a grant based on the Health Resources and Services Administration recommendations.[5] Also, FQHC Look-Alikes receive cost-based reimbursement for their Medicaid services, but do not receive malpractice coverage under FTCA or a cash grant.

FQHCs and Medicare[edit]

FQHC benefit under Medicare became effective October 1, 1991 when Section 1861(aa) of the Social Security Act was amended by Section 4161 of the Omnibus Budget Reconciliation Act of 1990.[6] FQHCs provide Medicare beneficiaries with preventive primary health services such as immunizations, visual acuity and hearing screenings, and prenatal and post-partum care.[7] However, eyeglasses, hearing aids, and preventive dental services are not covered under the FQHC preventive primary services. A FQHC Prospective Payment System (PPS) is scheduled to be implemented in 2014.[8] The Patient Protection and Affordable Care Act (ACA) mandates that the Centers for Medicare and Medicaid Services (CMS) collect and analyze health services data prior to developing and implementing the new payment system. This requires that the appropriate revenue code and Healthcare Common Procedure Coding System (HCPCS) code is listed with each service provided.[9] Currently, Medicare pays FQHC directly based on an all-inclusive per visit payment.[10]

Federally Qualified Health Center Advanced Primary Care Practice (FQHC APCP)[edit]

In June 2011, the Department of Health and Human Services announced the Federally Qualified Health Center Advanced Primary Care Practice (FQHC APCP) demonstration project.[11] This demonstration project is conducted under the authority of Section 1115A of the Social Security Act, which was added by section 3021 of the ACA and establishes the Center for Medicare and Medicaid Innovation (Innovation Center).[12] The CMS and Innovation Center in partnership with HRSA will operate the demonstration.[13] [14] This initiative was designed to evaluate the impact of the advanced primary care practice (APCP) model, also referred to as the patient-centered medical home (PCMH) on improving health, quality of care and lowering the cost of care provided to Medicare beneficiaries. [15] [16] The ACA will pay an estimated $42 million over three years (November 1, 2011 to October 31, 2014) to 500 FQHCs to coordinate care for 195,000 Medicare patients.[17] [18] [19] Participating FQHCs agree to adopt care coordination practices set by the National Committee for Quality Assurance (NCQA) and are expected to achieve Level 3 patient-centered medical home recognition.[20] [21]

President Bush launched the Health Centers Initiative to significantly increase access to primary health care services in 1,200 communities through new or expanded health center sites. Between 2001 and 2006, the number of patients treated at health centers has increased by over 4.7 million, representing a nearly 50 percent increase in just five years. In 2006 the number of patients served topped the 15 million mark for the first time.

Throughout the United States there are over 1,000 health centers that operate approximately 6,000 sites.[22] In 2010, the health centers served an estimated 20 million patients.[23] The data collected via the Uniform Data System (UDS) reports that of those patients served, 62 percent were members of a racial or ethnic minority (predominantly Hispanic), 93 percent lived at or below 200 percent of the federal poverty level, 72 percent lived at or below 100 percent of the federal poverty level, and 38 percent were uninsured.[24] In particular, during 2010 health centers served 862,775 migrant and seasonal farm workers and their families; more than 1 million individuals experiencing homelessness; and 172,731 residents of public housing.[25] Moreover, The National Association of Community Health Centers forecasts that FQHCs will serve 40 million patients in 2015.[26]

FQHCs and the Patient Protection and Affordable Care Act (ACA)[edit]

The health center program's annual federal funding has grown from $1.16 billion in fiscal year 2001 to $1.99 billion in fiscal year 2007. The passage of the ACA in March 2010 resulted in provisions that increased federal funding to FQHCs to help them meet the anticipated health care demand of millions of Americans who will gain health care coverage as result of the health reform law.[27] The ACA set aside $11 billion for community health centers over a period of five years to meet this goal.[28]

Total FQHCs in the United States[edit]

Total FQHCs in the United States - 2010: 1,124 [29]

StateTotal FQHCStateTotal FQHC
Alabama14Montana15
Alaska25Nebraska6
Arizona16Nevada3
Arkansas12New Hampshire10
California118New Jersey20
Colorado15New Mexico15
Connecticut13New York51
Delaware4North Carolina27
District of Columbia5North Dakota4
Florida44Ohio32
Georgia27Oklahoma17
GuamNAOregon31
Hawaii14Pennsylvania35
Idaho11Puerto Rico19
Illinois36Rhode Island8
Indiana19South Carolina20
Iowa13South Dakota6
Kansas13Tennessee23
Kentucky19Texas64
Louisiana24Utah11
Maine18Vermont8
Maryland16Virgin IslandsNA
Massachusetts36Virginia25
Michigan29Washington25
Minnesota15West Virginia28
Mississippi21Wisconsin16
Missouri21Wyoming6
Northern Marianas1

References[edit]

  1. ^ Health Center Program: What is a Health Center
  2. ^ Michelle M. Doty; Melinda K. Abrams; Susan E. Hernandez; Kristof Stremikis; Anne C. Beal (May 2010). "Enhancing the Capacity of Community Health Centers to Achieve High Performance". The Commonwealth Fund. 
  3. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  4. ^ [citation needed]
  5. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  6. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  7. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  8. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  9. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  10. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  11. ^ "New Affordable Care Act support to improve care coordination for nearly 200,000 people with Medicare". Department of Health and Human Services. June 2011. 
  12. ^ "Medicare Demonstrations: FQHC APCP FAQs.". Centers for Medicare and Medicaid Services. 
  13. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  14. ^ "Medicare Demonstrations: FQHC APCP FAQs.". Centers for Medicare and Medicaid Services. 
  15. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  16. ^ "Medicare Demonstrations: FQHC APCP FAQs.". Centers for Medicare and Medicaid Services. 
  17. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  18. ^ "New Affordable Care Act support to improve care coordination for nearly 200,000 people with Medicare". Department of Health and Human Services. June 2011. 
  19. ^ "Medicare Demonstrations: FQHC APCP FAQs.". Centers for Medicare and Medicaid Services. 
  20. ^ "Federally Qualified Health Center". Department of Health and Human Services. Centers for Medicare and Medicaid Services. November 2011. 
  21. ^ "New Affordable Care Act support to improve care coordination for nearly 200,000 people with Medicare". Department of Health and Human Services. June 2011. 
  22. ^ Michelle M. Doty; Melinda K. Abrams; Susan E. Hernandez; Kristof Stremikis; Anne C. Beal (May 2010). "Enhancing the Capacity of Community Health Centers to Achieve High Performance". The Commonwealth Fund. 
  23. ^ "Special Populations". Department of Health and Human Services. Health Resources and Services Administration. 
  24. ^ "Health Center Data". Department of Health and Human Services. Health Resources and Services Administration. 
  25. ^ "Special Populations". Department of Health and Human Services. Health Resources and Services Administration. 
  26. ^ Mary Takach and Jason Buxbaum (May 2011). "Developing Federally Qualified Health Centers Into Community Networks to Improve State Primary Care Delivery Systems". The Commonwealth Fund. 
  27. ^ "Summary of New Health Reform Law". The Henry J. Kaiser Family Foundation. April 2011. 
  28. ^ "Summary of New Health Reform Law". The Henry J. Kaiser Family Foundation. April 2011. 
  29. ^ "Number of Federally-Funded Federally Qualified Health Centers, 2010". The Henry J. Kaiser Family Foundation. 

External links[edit]