Community Health Centers
2025 HRSA Site Visit Protocol Updates Refine Compliance Expectations
The Health Resources and Services Administration (HRSA) has released its 2025 updates to the Health Center Program Site Visit Protocol, refining how Operational Site Visits are conducted for Federally Qualified Health Centers (FQHCs) and Look-Alikes. Many revisions align language and methodology with current program guidance. Several changes, however, provide clearer direction in areas where documentation […]
How Nonprofits Spot Loss‑Leading Programs Early and Keep Their Mission Moving Forward
Key Takeaways: Identifying Loss-Leading Programs Early Nonprofit leaders balance mission and financial responsibility every day. For organizations with multiple programs, that balance grows even more complex as funding sources multiply, staffing challenges persist, and reporting expectations increase. Over time, financial pressure may emerge in subtle ways. An organization may continue to meet its obligations and […]
How Nonprofits Can Prepare for Any Financial Scenario
Key takeaways: Organizations rarely have the luxury of planning in calm conditions alone. Funding models change, costs rise, programs evolve, and expectations continue to grow. The organizations best positioned to respond are not those that predict every outcome, but those that have already done the work to understand their cost structure, program sustainability, and financial […]
California Medicaid Reforms Shape Future for Community Health Centers
Overview of California Medicaid Reforms and CalAIM California has relied on federal waivers to expand Medicaid and improve care delivery. In December 2015, the state secured a 1115 Medicaid waiver under Section 1115(d)(2) of the Social Security Act. Known as Medi-Cal 2020, the waiver was designed to transform the system by improving care quality and […]
AAFCPAs Celebrates 2025 National Health Center Week
Each August, National Health Center Week offers an opportunity to recognize the essential role Community Health Centers (CHCs) play in advancing access to care. These centers are trusted community partners—delivering medical, dental, behavioral health, and social services to those who need it most. This year’s celebration takes place August 3–9, 2025. AAFCPAs invites clients and […]
Federal Shifts Signal Challenges and Support for Health Centers
As the federal fiscal year draws to a close, Community Health Centers once again find themselves in the policy spotlight. With core funding set to expire in September and new oversight proposals taking shape, health center leaders are managing a landscape defined by both renewed backing and regulatory headwinds. Lawmakers on both sides of the […]
HHS Rule Change May Affect Health Center Revenue and Patient Access
A new interpretation by the U.S. Department of Health and Human Services (HHS) could restrict access to federally funded programs—including the Health Center Program—for individuals without lawful immigration status. The move rescinds a 1998 interpretation of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) and reclassifies several programs, including community health centers, as “Federal […]
New HHS Grant Terms May Affect DEI and Foreign Boycott Policies
AAFCPAs would like to make clients aware of new conditions in the Department of Health and Human Services (HHS) Grants Policy Statement (GPS), which was updated for the first time since 2007. The revised guidance, published on April 16, 2025, outlines new restrictions tied to Diversity, Equity, and Inclusion (DEI) activities and foreign boycotts that […]
CHIA Sets June 24 Filing Deadline for CHC Cost Report
AAFCPAs advises that Massachusetts-based Community Health Centers (CHCs) begin preparing now for the fiscal year 2024 Community Health Center Cost Report. The Center for Health Information and Analysis (CHIA) has announced a due date of June 24, 2025 for all CHCs, regardless of fiscal year-end. AAFCPAs advises that you not delay. Our Cost Report Team […]