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The deadline for the Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) Alternative Payment Methodology for COVID-19 Vaccines Survey has been extended.
This survey allows FQHCs and RHCs to opt in to an alternative payment methodology (APM) based on an emergency State Plan Amendment approved by the Centers for Medicare & Medicaid Services for the COVID-19 vaccine administration.
- This APM allows for COVID-19 vaccine administration to be reimbursed outside of the prospective payment system encounter rate when COVID-19 vaccine administration was the only service provided on a given date during the COVID-19 public health emergency.
- Facilities must submit their agreement to the APM based on requirements in the Medicaid State Plan.
- No reprocessing of claims or changes in reimbursement are expected as a result of this agreement.
To opt in to the APM, FQHCs and RHCs must complete this online survey by 5 p.m. on October 31, 2023.
Any providers who fail to agree to the APM via the survey by this deadline will have payments for COVID-19 vaccine-only visits recouped.
For questions about the FQHC and RHC Alternative Payment Methodology for COVID-19 Vaccines Agreement Form, please email the Provider Finance Department.
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