Overview of Federally Qualified Health Centers Presented By: Doreen Bradshaw, Executive Director Shasta Consortium o

1. Overview of Federally Qualified Health Centers Presented By:Doreen Bradshaw, Executive DirectorShasta Consortium of Community Health Centers

2. What is a Federally Qualified Health Center (FQHC)? Non-profit or public health care organization Serves predominantly uninsured or medically underserved Located in or serving a Federally designated Medically Underserved Area/Population (MUA or MUP) Operates under a consumer Board of Directors governance structure Our growth has been largely due to the fact have become FQHCs. FQHC is a federal designation from the 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. FQHCs are located in or serving a Federally designated Medically Underserved Area/Population (MUA or MUP). All FQHCs must operate under a consumer Board of Directors governance structure, Like all of our CHC Board members to stand up!!!!!!!Our growth has been largely due to the fact have become FQHCs. FQHC is a federal designation from the 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. FQHCs are located in or serving a Federally designated Medically Underserved Area/Population (MUA or MUP). All FQHCs must operate under a consumer Board of Directors governance structure, Like all of our CHC Board members to stand up!!!!!!!

3. What is a Federally Qualified Health Center (FQHC)? Provides comprehensive primary health, oral and mental health/substance abuse services in all stages of the life cycle Provides services to all persons regardless of ability to pay Charges for services on a Board approved sliding-fee scale Provide comprehensive primary health, oral, and mental health/substance abuse services to persons in all stages of the life cycle. FQHCs provide their services to all persons regardless of ability to pay Charge for services on a Board approved sliding-fee scale that is based on patients� family income and size. Provide comprehensive primary health, oral, and mental health/substance abuse services to persons in all stages of the life cycle. FQHCs provide their services to all persons regardless of ability to pay Charge for services on a Board approved sliding-fee scale that is based on patients� family income and size.

4. FQHC StatusCommunity Benefits The community directs services The center will be a medical home so non-emergent cases in hospital rooms are reduced Economic impact of bringing more jobs and potential for future federal investment Reduction in the number of uninsured due to FQHC assistance with Medi-Cal and Healthy Families enrollment Referral arrangements for for FQHC patients provides better access to other health providers. Input from the community regarding servicesInput from the community regarding services

5. FQHC StatusCommunity Health Center Benefits Access to federal grants to support costs of uncompensated care Enhanced revenue due to the Prospective Payment System reimbursement for services for Medicaid and Medicare patients Access to medical malpractice coverage under Federal Tort Claims Act (FTCA) PHS Drug Pricing Discounts for pharmaceutical products Federal and state grant support and federal loan guarantees for capital improvements.

6. FQHC StatusCommunity Health Center Benefits Reimbursement by Medicare for �first dollar� of services because deductible is waived if FQHC is providing services Improvement of general public health because of access to Vaccines for Children (VFC) Program (for uninsured children) Access to National Health Service Corps (NHSC) Placements to provide medical dental and mental health provider staff.

7. Who Do Federally Qualified Health Centers Serve? Nationally, community health centers are medical homes to 15 million people annually Half of health center patients reside in rural areas 70% have incomes below 200% of FPL 40% of health center patients are uninsured 36% depend on Medicaid

8. Our Nation�s Health Centers Office of Management and budget rank the health center program as #1 for cost efficiency and effectiveness out of 15,000 Health and Human Service programs. The community health centers represent the largest health care system in the nation-serving over 50 million individuals. Independent studies show services provided in community health centers provide a savings of 30% to 60% over private health sector settings. CHCs are ranked #1 for cost efficiency out of 15,000 health and human service programs CHCs represent the largest health care system in the nation CHCs provide a savings of 30-60% over private health sector settings.CHCs are ranked #1 for cost efficiency out of 15,000 health and human service programs CHCs represent the largest health care system in the nation CHCs provide a savings of 30-60% over private health sector settings.