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Advocacy and Mobilization

Policy Analysis

CMB2 - Building FQHC Capacity to Navigate PPS

Monday, August 26, 2024
1:30 PM – 2:45 PM ET
Location: International South
CPE:1.5
CME: 1.25
CE: 1.0
CEU: 1.25
Navigating the Prospective Payment System (PPS) is critical to ensuring the financial and operational stability of an FQHC. This session will highlight the innovative strategies FQHC leaders have leveraged to maximize their PPS reimbursement, and identify advocacy opportunities/strategies for expanding the types of billable FQHCs providers, petitioning for change in scope of services offered, and advocating for more equitable reimbursement methods. This session will also summarize the lessons learned from NACHC's inaugural PPS Learning Collaborative, which convened FQHC leaders across the country to build capacity and raise awareness about the various federal and state components of PPS and FQHC reimbursement.

Learning Objectives:

  • Upon completion, participants will be able to distinguish how FQHCs are reimbursed differently than other providers through Medicaid.
  • Upon completion, participants will learn about the experiences and lessons learned from FQHCs who participated in NACHC's PPS learning collaborative.
  • Upon completion, participants will be able to identify at least one potential strategy their FQHCs can leverage to petition for an increase in their FQHCs reimbursement rate.