The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) utilize an FQHC pricer according to a payment system established by the Affordable Care Act recognizing “grandfathered” tribal FQHCs. Contractors should adjust adjust FQHC claims with dates of service on or after January 1, 2018 and through March 31, 2018.
Subject: Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update
Release Date: February 23, 2018
Effective Date: April 1, 2018
Implementation Date: April 2, 2018
Special Notes: N/A