Community Health Centers
340B Discounts at Risk: What It Means for FQHCs and Patient Care
Federally Qualified Health Centers (FQHCs), hospitals, and health systems relying on 340B discounts are facing growing uncertainty. Courts, policymakers, and pharmaceutical manufacturers continue to push for changes that could reshape how the program operates. Recent developments have highlighted potential new restrictions and increased oversight along with the financial strain for participating providers. FQHCs and hospitals […]
Upcoming Increase in Single Audit or Program-Specific Audit Thresholds
For audits of fiscal years beginning on or after October 1, 2024, the Office of Management and Budget (OMB) will raise the threshold for requiring a single audit or program-specific audit from $750,000 to $1,000,000. Non-Federal entities receiving less than $1,000,000 in federal funds annually will no longer be required to undergo a single audit, […]
Attestation Deadline for New York Medicaid PCMH Incentive Increase
AAFCPAs would like to make FQHC clients aware that the 2024-2025 state budget approved a Patient-Centered Medical Home (PCMH) incentive increase that provided additional funding to health centers. These payments, which were retroactive to April 1, 2024, included $2 per member per month (PMPM) for adult Medicaid patients and $4 PMPM for children under the […]
Reminder: UDS+ Reporting Requirements Begin February 18
As a reminder, the new Uniform Data System (UDS+) reporting requirements go into effect on February 18, 2025. These changes require health centers to submit some de-identified 2024 UDS patient-level data using Health Level Seven International (HL7)-developed Fast Healthcare Interoperability Resources (FHIR) R4 standards. To help you navigate these updates, we previously published a detailed […]
Maximizing Medicaid Reimbursement for Colorado FQHCs
Colorado’s Federally Qualified Health Centers (FQHCs) play a crucial role in bridging healthcare gaps for underserved and rural communities, providing access to essential services where other options are scarce. Yet managing Medicaid reimbursement remains a complex endeavor where health centers must navigate unique state protocols, changing cost structures, and operational pressures. By aligning financial strategies […]
Streamlining Operations: How Modern ERP Systems Solve Inefficiencies and Drive Growth
In this article: Complex nonprofits, especially multi-service health and human services agencies, face the daunting task of managing diverse programs, complex funding streams, and stringent compliance requirements. Fragmented systems and disjointed processes can compound these challenges, leading to inefficiencies and increased administrative workloads. The implementation of a well-designed enterprise resource planning (ERP) system offers a […]
Navigating New York Medicaid Reimbursement: A Strategic Approach for FQHCs
Like many Federally Qualified Health Centers (FQHCs) across the country, New York’s centers are grappling with increasingly constrained budgets and rising staffing costs, making Medicaid reimbursements more critical than ever to sustaining their services. New York’s Medicaid system offers a key opportunity, providing FQHCs with the ability to apply for supplemental payments that cover costs […]
Seven Ways to Improve Health Center Financial Stability
Health centers are challenged with post-pandemic funding cuts, inflation, and difficulties attracting and retaining top talent amid a competitive hiring market. These factors strain operating budgets, making it necessary to adopt a proactive and strategic financial management approach. AAFCPAs advises that Federally Qualified Health Center (FQHC) clients evaluate their financial health and operational efficiencies, focusing […]
New UDS+ Reporting Requirements Announced for Health Centers
Health centers have long been required to submit a Uniform Data System (UDS) report to the Health Resources and Services Administration (HRSA) by February 15 each year. However, AAFCPAs would like to ensure FQHC clients are aware HRSA introduced a new requirement, the UDS+ filing due by April 30, 2025, for calendar year 2024 data. […]