Federally Qualified Health Center look-alikes
E637321
Federally Qualified Health Center look-alikes are community-based health care providers that meet all federal requirements for Health Center Program funding but do not receive grant support, yet still qualify for certain benefits such as enhanced Medicare and Medicaid reimbursement.
Statements (47)
| Predicate | Object |
|---|---|
| instanceOf |
federal health program status
ⓘ
health care provider designation ⓘ safety net provider category ⓘ |
| administeredBy |
Bureau of Primary Health Care
NERFINISHED
ⓘ
Health Resources and Services Administration NERFINISHED ⓘ |
| arePartOf | U.S. health care safety net ⓘ |
| country |
United States of America
ⓘ
surface form:
United States
|
| distinguishedFrom | Health Center Program grantees by lack of Section 330 grant funding ⓘ |
| doesNotReceive | Section 330 grant funding ⓘ |
| governanceRequirement |
a majority of board members must be patients of the health center
ⓘ
must have a community-based governing board ⓘ |
| isNot | direct Health Center Program grantee ⓘ |
| legalBasis | Section 1905(l)(2)(B) of the Social Security Act ⓘ |
| mayBe |
nonprofit organizations
ⓘ
public entities ⓘ |
| meetsAllRequirementsOf |
Health Center Program
NERFINISHED
ⓘ
Section 330 of the Public Health Service Act ⓘ |
| mustApplyTo | Health Resources and Services Administration for look-alike designation NERFINISHED ⓘ |
| mustComplyWith |
federal access to care requirements
ⓘ
federal clinical quality requirements ⓘ federal financial management requirements ⓘ federal governance requirements ⓘ |
| mustDemonstrate |
capacity to provide required services
ⓘ
need for services in the service area ⓘ sound financial management ⓘ |
| mustHave | sliding fee discount program ⓘ |
| mustProvide |
comprehensive primary health care services
ⓘ
enabling services such as case management and translation ⓘ preventive health services ⓘ services regardless of patients’ ability to pay ⓘ |
| mustReport |
clinical performance measures to HRSA
ⓘ
financial and operational data to HRSA ⓘ |
| mustServe |
medically underserved areas
ⓘ
medically underserved populations ⓘ |
| primaryGoal | improve access to primary care in underserved communities ⓘ |
| qualifiesFor |
340B Drug Pricing Program eligibility
ⓘ
National Health Service Corps provider site eligibility ⓘ enhanced Medicaid reimbursement ⓘ enhanced Medicare reimbursement ⓘ federal tort claims coverage eligibility (limited and conditional) ⓘ |
| recognizedAs |
Federally Qualified Health Centers for Medicaid purposes
ⓘ
Federally Qualified Health Centers for Medicare purposes ⓘ |
| subjectTo |
ongoing compliance monitoring by HRSA
ⓘ
periodic HRSA operational site visits ⓘ |
| targetPopulation |
low-income individuals
ⓘ
publicly insured individuals ⓘ uninsured individuals ⓘ |
Referenced by (1)
Full triples — surface form annotated when it differs from this entity's canonical label.