Federally Qualified Health Center (FQHC) Medicaid Reimbursement
Overview
General FQHC Information
Federally Qualified Health Centers (FQHC) are health centers that receive Public Health Service (PHS) Act, Section 330 funds, and provide primary care services in underserved, urban and rural communities. FQHC is a federal designation from the U.S. Dept. of Health & Human Services, Health Resources & Services Administration (HRSA), Bureau of Primary Health Care (BPHC), and the Center for Medicare and Medicaid Services (CMS) that is assigned to private non-profit or public health care organizations that serve predominantly uninsured or medically underserved populations.
The primary purpose of Federally Qualified Health Centers is to expand access to primary health care for uninsured and under served populations, who experience financial, geographic or cultural barriers to care and who live in or near federally designated health professional shortage areas (HPSAs) and medically under-served areas (MUAs).
Change In Scope Application
FQHCs that wish to submit a Change in Scope request to the Department may use the application document. The application provides helpful information and streamlines the change in scope submission process. Please review the application for easy to follow steps on how to submit a change in scope to the Department. If you have questions regarding the application please contact the Department at con-ratesetting.dss@ct.gov. The application is offered in both a PDF and Word version below for ease of use.