As an individual who has been involved with FQHCs for over 20 years, it is nice to see this process being put in place.  I have personally witnessed the demand for expanded services to meet the needs of the Medicaid beneficiaries.  More staff has been added to address psychiatric issues, social determinants of health and substance use disorders.  In addition, Virginia FQHCs often were the site for the most COVID testing and vaccination in their communities.  But it has not come without cost.  Many of the supporting positions are not billable services but are critical to navigating the health system for Medicaid beneficiaries.  Cost of supplies and salaries for the professionals who care for the Medicaid population has gone up tremendously over the years but the reimbursement for these services has not.  The FQHCs are dedicated to preventative and primary care for the VA Medicaid population and should be reimbursed accordingly.  Therefore I support these bills to ensure FQHCs are able to continue to provide the needed services for Medicaid.

• 12VAC30-80-25:B.1-Reimbursement for federally qualified health centers (FQHCs) and rural health clinics (RHCs): Beginning October 1, 2001, and for each fiscal year thereafter, each FQHC/RHC shall be entitled to the payment amount (on a per-visit basis) to which the center or clinic was entitled under BIPA of 2000 in the previous fiscal year, adjusted by the percentage change in the Medicare Economic Index (MEI) for primary care services, and adjusted to take into account any increase or decrease in the scope of services furnished by the FQHC/RHC during its fiscal year.
   
• Budget Bill - Item 288 WWWW: DMAS shall implement a process no later than January 1, 2025, for FQHCs to notify the department of any changes in the scope of services offered by an FQHC, pursuant to Section 1902(bb)(3) of 42 U.S.C. 1396a. The department is authorized to reimburse FQHCs for unreimbursed costs, as allowed by the applicable federal law, prior to an initial request for a change in scope under the new process. After more than 20 years of waiting and in compliance with Item 288 WWWW, (add your FQHC name) respectfully requests the implementation of this policy, along with the new PPS rate, effective January 1, 2025. We also request reimbursement for any unreimbursed costs incurred prior to the submission in accordance with applicable federal law.YU