FQHCs — Federally Qualified Health Centers
A community-based health center that receives federal funding under Section 330 of the Public Health Service Act to provide primary care services in underserved areas regardless of patients' ability to pay. FQHCs operate on a sliding fee scale and receive enhanced Medicare/Medicaid reimbursement (PPS).
18
Primary Modules
8
Key API Integrations
9
Regulatory Requirements
Primary Portal Modules
FQHC Patient Clinical Appointments Billing Enrollment Medications Care Coordination Population Health Analytics Compliance Regulatory Financial Vitals Documents Communication Providers Grievances
Organizational Relationships
▲ Vertical — Reports To (Upward)
- HRSA/BPHC (federal grant oversight)
- CMS (Medicare/Medicaid billing)
- State Medicaid agencies
- Community board of directors
▼ Vertical — Oversees (Downward)
- Clinical and operational staff
- Satellite/school-based sites
- Contracted specialists
▶ Horizontal — Collaborates With (Peer)
- Health plans/MCOs (Medicaid managed care)
- Hospitals (referral relationships)
- ACOs (participating as primary care)
- State Primary Care Associations
- NACHC
- Other FQHCs (HCCNs)
- 340B pharmacies
- Social service organizations
Key API Integrations
HRSA EHB/UDS ReportingEHR Integration (FHIR, CCDA)Medicaid Claims (X12 837)Medicare PPS Billing340B OPAIS APIHIE ConnectivityState Immunization RegistriesTelehealth Integration
Regulatory Requirements
- HRSA Section 330 (19 program requirements)
- Community board governance (51%+ patients)
- Sliding fee schedule (FPL-based)
- UDS annual reporting
- FTCA malpractice coverage
- CMS FQHC PPS rules
- 340B program compliance
- HIPAA
- PCMH recognition