What are CHCs

1. What are CHCs/FQHCs? Community Health Centers (CHCs) are designated by Center for Medicaid and Medicare Services (CMS) as �Federally Qualified Health Centers� (FQHCs). Federal statute requires that FQHCs receive cost-based reimbursement for Medicaid and Medicare services. FQHCs are located in federally designated Medically Underserved Areas (MUA). FQHCs are federally mandated to provide comprehensive primary care to anyone seeking health care, regardless of ability to pay. FQHC �Look Alikes� operate according to FQHC regulations but do not receive federal funding. FQHC designation is required for Medicaid/Medicare payment structure. By receiving cost-based reimbursement, FQHCs are able to use grant funds or private funds to cover costs of providing care to uninsured. FQHC �Look Alikes� endure a rigorous federal approval process. At the end of the process, they are deemed �FQHC Look Alikes� and are well-positions to apply for funding once the opportunities become available. FQHC designation is required for Medicaid/Medicare payment structure. By receiving cost-based reimbursement, FQHCs are able to use grant funds or private funds to cover costs of providing care to uninsured. FQHC �Look Alikes� endure a rigorous federal approval process. At the end of the process, they are deemed �FQHC Look Alikes� and are well-positions to apply for funding once the opportunities become available.

2. FQHCs are Public/Private Partnerships PUBLIC Federally funded FQHCs receive substantial federal grant dollars on an ongoing basis. Federally funded FQHCs are covered by Federal Tort Claims Act (FTCA) * FQHCs have access to the Federal 340B Drug Discount Program. If located in Health Professional Shortage Area (HPSA) with appropriate score, FQHCs are eligible for National Health Service Corps Scholars and/or Loan Repayment. PRIVATE FQHCs are operated by a private, non-profit 501(c)3 community board that helps ensure decisions regarding the health center are made at the community level. *FQHC Look Alikes do not receive federally funds or FTCA. 1. It is a common misperception that FQHC funding is �start up� funding. It is not�once funded, if a health center maintains compliance with federal program requirements and demonstrates appropriate fiscal responsibility, they apply for continuation funding year after year.1. It is a common misperception that FQHC funding is �start up� funding. It is not�once funded, if a health center maintains compliance with federal program requirements and demonstrates appropriate fiscal responsibility, they apply for continuation funding year after year.

3. Core Elements of FQHCs The Community Health Center mission is to provide access to high quality, cost effective primary care for all persons, regardless of ability to pay. FQHCs offer discounted services on a sliding fee scale. FQHCs provide comprehensive primary care, dental health services, behavioral health services and discount pharmacy programs. FQHCs offer enabling services such as transportation and translation, case management, and health education. Health centers are community owned and operated; A majority of members on governing boards must be patients of the health center.

4. Health Center Services Primary Care � All Ages Well Child Well Baby Lab, X-Ray Oral Health Mental Health/ Substance Abuse Pre- and Postnatal Family Planning Pharmacy Immunizations Not all FQHCs offer all of these services. Core FQHC services are primary care and access to dental or mental health care either on-site or by referral. All FQHCs must make discount pharmacy arrangements. Not all FQHCs offer all of these services. Core FQHC services are primary care and access to dental or mental health care either on-site or by referral. All FQHCs must make discount pharmacy arrangements.

5. Cost Effective Solutions 2006 Annual Cost of Care: Medical cost per patient: $261 Total costs per patient*: $451 *Includes costs such as behavioral health, lab, x-ray, and pharmacy. Source: Bureau of Primary Health Care, 2006 Uniform Data System, All OK Grantees (11)

6. Who Do Oklahoma�s FQHCs Serve?2006 Patients By Insurance Status

7. The President�s 2001 �CHC Growth Initiative� While campaigning, President Bush vowed to �double� the size of the health center program. While campaigning, President Bush vowed to �double� the size of the health center program.

8. New FQHCs Added by Initiative

9. New FQHCs-Under Development

10. OK Legislature Support: New FQHC/Look-Alikes FY2006: $1,200,000 Development of Four New FQHCs/FQHC Look-Alikes (Incubator Program) �Start Up� support for newly funded FQHCs FY2007: $700,000 Development of new FQHCs/Grant Writing Support Continued support of �Incubators� �Start Up� support for newly funded FQHCs FY2008: $700,000 Development of new FQHCs/Grant Writing Support Continued support of �Incubators� �Start Up� support for newly funded FQHCs

11. OSDH Community Development Service Office of Primary Care Developed and provides funding for �FQHC Incubator� Program Conducts community �Needs Assessments� required for federal designation and funding Responsible for HPSA/MUA designations Provides technical assistance for community and organizational development Provides funding for expert grantwriters and program consultants Turning Point Facilitates community and consumer involvement Helps to integrate public health programs into FQHCs Assists in needs assessments

12. Outlook for Future FQHC Growth

13. These were all of the FQHCs prior to 2000 �President�s Growth Initiative�. Two were established 30 years ago; two were established 20 years ago. These were all of the FQHCs prior to 2000 �President�s Growth Initiative�. Two were established 30 years ago; two were established 20 years ago.

14. Two Homeless Healthcare satellites, one in OKC, one in Tulsa. Two Homeless Healthcare satellites, one in OKC, one in Tulsa.

15. New FQHCs Since 2000New FQHCs Since 2000