Federally Qualified Health Centers Alternative Payment Methodology Pilot – California Concept Paper

On October 13, 2016, the California Department of Health Care Services released this concept paper regarding federally qualified health centers (FQHCs) alternative payment methodology (APM) pilot. The APM is designed to give FQHCs more effective incentives to provide higher quality care at lower costs while helping consumers achieve better health status. Under the proposed payment model, the Medi-Cal (California’s Medicaid program) managed care plans will pay the FQHCs an actuarially sound, capitated rate for each Medicaid beneficiary served. This document includes background information on FQHCs and the current payment structure; and detailed information on the pilot design and . . .