Article | March 22, 2022

Understanding the Federally Qualified Health Centers Program [FQHC]

What Is a FQHC?

Federally Qualified Health Centers (FQHCs) include all organizations (public entity or private non-profit) receiving grants under Section 330 of the Public Health Service Act, certain tribal organizations, and FQHC Look-Alikes. FQHCs qualify for enhanced reimbursement from Medicare and Medicaid, as well as other benefits. FQHCs must serve an underserved area or population, offer a sliding fee scale, provide comprehensive services, have an ongoing quality assurance program, and have a governing board of directors.

Funded Health programs include Community Health Centers; Migrant Health Centers; Health Care for the Homeless Programs and Public Housing Primary Care Programs. FQHCs are community-based organizations providing both 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. Requirements can be complex — Indian Health Service funded FQHCs may differ from the requirements for FQHCs receiving Section 330 grants and for FQHC Look-Alikes.

How We Can Assist

KHC has extensive and varied experience working with FQHCs in the following areas:

  • Operational assessments, including all facets of Practice management:
    • Best business practices, accounts receivables management, reimbursement, coding, billing, compliance, and regulations.
  • Physician compensation and provider productivity analysis and development.
  • Strategic plan development, business planning, and feasibility studies.
  • Successfully written several grants to HRSA on behalf of FQHCs on new service and site expansion.
  • Providing training consisting of design, curriculum formulation and presentation that is specific to FQHCs.