Billing and Finance Resources
Health center billing and finance is unique in that payment streams are different than traditional primary care. In addition, health centers are required to meet specific Health Resources and Services Administration (HRSA) regulations and follow federal cost principles as a recipient of federal grant funds. The challenge is meeting both federal and state regulations as well as maintaining a fiscally stable environment to meet the health center’s mission of providing quality care to the communities served.
One of PACHC’s core functions is related to payment policy, especially Medicaid policy. PACHC meets monthly with the PA Medicaid staff directly responsible for FQHC/RHC payment policy; every other month the meetings are expanded to include Department of Human Services staff responsible for Medicaid policy, CHIP and Medicaid behavioral health services. PACHC’s strong relationship with the PA Medicaid program provides an avenue for vital communication about challenges, questions and two-way feedback with the goal being fiscally sound health centers that can provided needed health services to their communities.
PACHC’s trainings, technical assistance, resources, peer networking groups and regular group communication on critical finance and billing issues offer timely, relevant support for health centers across the state in navigating the complex environment facing organizations today.