Medicaid FQHC APMs: What Are They and What Do They Mean for Health Centers?

In 2000, Congress created the Medicaid Prospective Payment System (PPS) to provide health centers with stable funding and protect federal investments. The law also created the option for an FQHC Alternative Payment Methodology (FQHC APM). Health centers in several states have or are in the process of working with their state primary care association and state Medicaid agency to leverage the FQHC APM option to create new payment methodologies that allow for a more transformative use of the medical home. This session will provide attendees with basic information about FQHC APMs and an overview of development and implementation trends across states. Speakers will discuss what led them to pursue an FQHC APM and what they’ve learned along the way.