Federally Qualified Health Centers

The Division of Medicaid and Health Financing (DMHF) is submitting a change to the Medicaid State Plan through Attachment 4.19-B, SPA 12-006-UT Federally Qualified Health Centers. The purpose of this change is to clarify alternative payment methods for federally qualified health centers (FQHCs). This amendment, therefore, clarifies that a FQHC must calculate only covered beneficiary charges when it calculates the Ratio of Beneficiary Charges to Total Charges Applied to Allowable Cost as part of its agreement with the federal government.

DMHF does not anticipate any impact to total annual expenditures as a result of this amendment.

The proposed effective date of this change is July 1, 2012, and it is pending Centers for Medicare and Medicaid Services approval.

A copy of the change may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of the change are also available at local county health department offices.

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