Federally Qualified Health Center (FQHC) Medicaid Reimbursement

Related Resources

FQHC Cost Reports Due Six-Months after FYE

Cost reports for fiscal year end June 30, and any other month, are due six-months after the end of the fiscal year. As a reminder, cost reports for facilities with a FYE of June 30 are due December 31.

FQHC Cost Report & Reporting Guidelines

FQHC cost reports and accompanying information should be complete and accurately represent the provider's expenses for the cost reporting period in accordance with 42 CFR Parts 405, 491, and 493, and the allowable cost principles of the CMS Provider Reimbursement Manual (CMS Pub. 15-1). Providers receiving payment on the basis of reimbursable cost, must provide adequate data based on financial and statistical records which can be verified. Item 22 of the DSS Health Care Financing Provider Enrollment Agreement addresses making records and information available to DSS. A desk review will be performed on each FQHC cost report and based on the initial review of the cost report and the supporting schedules, a determination will be made regarding whether additional information is required. Additional documentation is due from the provider Thirty (30) days from date of request.

Additional Information:

FQHC Rates Effective October 2018
FQHC Rates Effective October 2016
FQHC Rates 2009-2015
Regulation: Requirements for Payment to Federally Qualified Health Centers