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The FQHC designation also introduced "Health Center Program look-alikes," which meet all HRSA funding requirements under Section 330 of the Public Health Service Act but do not receive direct HRSA funding. These look-alikes are eligible for FQHC reimbursement rates and other benefits available to HRSA-funded centers. [4]
Medicare and Medicaid pay “look-alike” health centers significantly more than hospitals for treating patients, and converting or creating clinics can help hospitals reduce their expenses.
Safety net hospitals oftentimes find themselves in difficult financial positions due to the vulnerable financial state of the patients and lack of sufficient federal, state and local funding; safety net hospitals have high rates of Medicaid and Medicare payers [8] [9] [1] (Medicaid has unreliable/insufficient processes of government to hospital repayment [8]) and a large proportion of safety ...
They include federally qualified health centers (FQHCs), FQHC "look-alikes", Ryan White HIV/AIDS program grantees, tuberculosis, black lung, family planning and sexually transmitted disease clinics, hemophilia treatment centers, public housing primary care clinics, homeless clinics, Urban Indian clinics, and Native Hawaiian health centers. [6 ...
The federal government reimburses states for a portion of Medicaid costs through the Federal Medical Assistance Percentage program, which covers hospitals, doctors, clinics, pharmacies and nursing ...
Aside from FQHCs, other entities that provide outpatient services to Medicaid patients, that are also paid by a PPS methodology include: FQHC look-alikes (health centers not receiving a federal grant under section 330 of the Public Health Service Act, but that otherwise meet the criteria for FQHC status.) Indian Health Service Health Centers [5]
In March 2007, the Bureau of Primary Health Care, part of the federal Health Resources and Services Administration (HRSA), gave WWC a “Federally Qualified Health Center Look-Alike” designation. The designation is only awarded to clinics that provide care to medically underserved communities and meet other stringent requirements.
All Federally Qualified Health Centers and rural health clinics (i.e., facilities which receive federal grants to provide healthcare to underserved populations) are automatically considered HPSAs. [ 5 ] [ 6 ] "Look-a-like" community-based providers which satisfy HRSA regulations for health centers but not the statutory requirements for grants ...