Clinic Providers

Each clinic type has various requirements for enrollment. The Provider Enrollment Unit can assist you with the enrollment process.

Reimbursement Methodologies
FQHCs and RHCs are reimbursed on a prospective payment system. Rates are effective October 1st thru September 30th and are inflated by the Medicare Economic Index (MEI) in effect on October 1st of each year. Annual cost reports are not required.

OHFs are reimbursed on prospective cost based system. Costs for one year are inflated based on several Consumer Price Index values to set rates for two years in the future. An annual cost report is required.

Federally Qualified Health Centers (FQHC) & Outpatient Health Facility (OHF) Medicaid Cost Report (Updated 12/07/06)

• OHFs - Cost report must be filed annually by April 1st.
• FQHCs - Cost report needs to be filed only if facility is new or is adding a new service.