Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
 
Board
Board of Medical Assistance Services
 
Guidance Document Change: Federally Qualified Health Center (FQHC) Change in Scope Policy
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12/13/24  3:23 pm
Commenter: Health Community Health Centers

Change in Scope Process for FQHCs
 

After 27 years in healthcare, I moved from the private practice/medical group sector to the world of FQHCs.  Daily, I am amazed at the tremendous work done to partner with our patients to promote health and heal illness - all while working to address the many barriers to achieving better health.  We have team members focused not only on physical health but mental health, food insecurity, housing, and medication costs - to name just a few.  FQHCs are known for providing high-quality, cost-effective care but our costs of rendering these important services continue to climb.  Reimbursement for services has not risen to match the rising cost of doing business.  Without a process to demonstrate the scope of our services and seek additional compensation for these services, centers will be forced to reduce or eliminate critical programs for our communities.

After more than 20 years of waiting, and in compliance with item 288 WWWW, Healthy Community Health Centers, located in Harrisonburg, 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

Sincerely,

Natalie Bass, BSN, RN

Executive Director

CommentID: 228977