How are Federally Qualified Health Centers (FQHCs) reimbursed under the Medicaid Women’s Health Program?
FQHCs are reimbursed for services under the prospective payment system as they are for family planning services under Medicaid. FQHCs receive a per-visit encounter rate not to exceed three encounter rate reimbursements per client per calendar year (Article II, Health and Human Services Commission, Rider 48, H.B. 1, 80th Legislature, Regular Session, 2007).