FQHCs and FQHC Look-alikes: A Sustainable Business

Transcript:FQHCs and FQHC Look-alikes: A Sustainable Business:
FQHCs and FQHC Look-alikes: A Sustainable Business Model for RW Part C Programs Presenters: Rebecca M. Johnson, MNPL Mark Meye, CPA Community Link Consulting Your knowledgeable resource in all things FQHC www.communitylinkconsulting.org New Access Point, Service Area Competition Budget Period Renewal Ryan White Grants & Program Support FQHC and Look-alike Grantee Support & Services Financial Management Cost Reporting, UDS, FFR Fee Schedule Review Corporate Compliance / Compliance Reporting Management / Staff / Board Training Strategic Planning Residency Development IT Infrastructure Development and Support Who’s in the room? Why now? Affordable Care Act RW Reauthorization Uncertainty Changes in HIV Disease Objectives: By the end of the presentation you will: Understand the benefits of becoming an FQHC or FQHC LA Know how the programs differ Know which model best supports your program Have basic information to begin strategic discussions about becoming an FQHC/FQHC-LA Have a road map for pursuing FQHC/LA status Federally Qualified Health Center’s Mission Improve the health of underserved communities and vulnerable populations by assuring access to comprehensive, culturally competent, quality primary health care services Ultimate Goal… Improving health status (i.e., patient outcomes) of all populations in the target area served by a health center, especially underserved. PIN-96-23 Four Core Elements FQHC or FQHC – Look alike 1. Reach Medically Underserved Communities Impact: CHCs serve populations who otherwise would not get the care they need; CHCs see publicly insured and uninsured patients in areas where there is a lack of providers and/or providers willing to see this population. 2. Governing with Community Involvement Impact: CHCs reflect the needs of the communities they serve. 3. Treat Patients Regardless of Ability to Pay Impact: Community Health Centers (CHCs) are the primary care safety net for the uninsured. 4. Provide a Comprehensive Scope of Services Impact: No other model of primary health care service delivery offers more services in one location or targets more special populations through one model of care. » Reduce/eliminate health disparities. » Help vulnerable patients successfully manage chronic conditions. » Save money in the health care delivery system by keeping patients out of the hospital and ER. Program Benefits – FQHC Only Grant Funding for Operations under Section 330 of the Public Health Services Act -- $650,000 for New Access Point FTCA – Federal Tort Claims Act Coverage Additional Program Benefits National Service Corps Enhanced Medicaid/Medicare Rates 340 B Pharmacy Access Program Requirements: Comprehensive primary care (directly or contract)