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HHS/CMS RIN: 0938-AR62 Publication ID: 2012 
Title: ●Prospective Payment System for Federally Qualified Health Centers (FQHCs) (CMS-1443-P)(Section 610 Review) 
Abstract: The Affordable Care Act amends the current Medicare FQHC payment policy by requiring the establishment of a new payment system, effective with cost reporting periods beginning on or after October 1, 2014. This rule proposes the establishment of the new prospective payment system. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: Undetermined 
RFA Section 610 Review: Section 610 Review 
CFR Citation: Not Yet Determined     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: PL 111-148, sec 10501   
Legal Deadline:
Action Source Description Date
Final  Statutory    10/01/2014 

Statement of Need: FQHCs include providers such as community health centers, public housing centers, outpatient health programs funded by the Indian Health Service, and programs serving migrants and the homeless. The main purpose of the FQHC program is to enhance the provision of primary care services in underserved urban and rural communities. CMS is required by statute to develop a prospective payment system for FQHCs effective October 1, 2014.

Summary of the Legal Basis: Sections 5502 and 10501 of the Affordable Care Act.

Alternatives: None. This implements a statutory requirement.

Anticipated Costs and Benefits: Total expenditures will be adjusted for fiscal year 2015.

Risks: If this regulation is not published timely, FQHC services will not be paid appropriately beginning October 1, 2014.

Timetable:
Action Date FR Cite
NPRM  06/00/2013 
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: Federal, Local, State 
Small Entities Affected: Governmental Jurisdictions, Organizations  Federalism: Undetermined 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: Yes 
Agency Contact:
Sarah Harding
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C4-01-26, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4535
Email: sarah.harding@cms.hhs.gov