Accreditation
Joint
Commission on Accreditation of Healthcare
Organizations (JCAHO) – Ambulatory
Care Accreditation home page for information
related to the accreditation process for
health centers (not a Government Web
site)
Behavioral
Health (includes Mental Health and Substance
Abuse):
1.
Behavioral Health - 2004 HRSA Partial
Update to State by State Profiles
For
older but more comprehensive survey, see
Medicaid - State by
State.
VIEW
TABLE ON WEB (Since the table is wide,
it's divided in two parts.)
VIEW
TABLE AS EXCEL FILE
2.
Behavioral Health - State by State
Profiles
"State
Profiles, 2000, on Public Sector Managed
Behavioral Health Care"
(Produced for SAMHSA - Substance Abuse
and Mental Health Services Administration)
3.
State Profiles of Mental Health
and Substance Abuse Services in Medicaid
On
SAMHSA's National Mental Health Information
Center web:
State
Profiles of Mental Health and Substance
Abuse Services in Medicaid
Benchmarks:
Practice Management - PDF,
Word,
web
page
Medical
Group Management Association www.mgma.com
(not a Government Web site)
Billing
& Collections Manual - Table
of Contents (with links to three sample
policies)
NACHC's
"FQHC Medicare Billing and Collections
Manual" - 11/2003
http://www.nachc.com/pubmgr/Catalog.asp
(not a Government Web site)
Buildings
and Equipment
Capital
Link – Buildings and Equipment capital financing
resource
www.caplink.org
(not
a Government Web site)
Business
Plan Template
You
must have Excel software to use the Excel
files. Save the Excel files on your
computer and then open the files you've
saved.
-
Business Plan - Case Data - revised January
2003 (Excel
file-58KB)
-
Business Plan - Blank
- revised January 2003 (Excel
file-53KB)
Modified
version of the business plan for SBHCs:
CMS
Provider Manuals Pertaining to HRSA Grantees
The
Medicare Rural Health Clinic and Federally
Qualified Health Center Manual – Contains
operating instructions, policies and procedures
based in statues and regulations, guidelines,
models and directives
The
Provider Reimbursement Manual - Part 1
– Contains operating instructions, policies
and procedures.
The
Provider Reimbursement Manual - Part 2
– Contains operating instructions, policies
and procedures. Click on Chapter 29 to download.
Provider
Enrollment for New FQHC Sites – Available
download of CMS Form 855A, Medicare provider
enrollment form. Instructions for the 855A
completion and CMS contact information also
available at http://www.cms.hhs.gov/MedicareProviderSupEnroll/
or http://www.ugsmedicare.com/providers/audit_reimbursement/newprov.asp
(not a Government Web site)
CMS
Open Door Forums
CMS
Open Door Forums were established to
interact with beneficiaries, providers,
and stakeholders interested in the delivery
of quality healthcare for the nation’s seniors.
Community
Toolbox
Community
Toolbox makes available 6,000 pages
of practical information to support your
work in promoting community health and development.
(not a Government Web site)
Computerization
"Patient
Electronic Care System (PECS) User Reference
Manual" is available at Midwest
Clinician's Network - Health Disparities.
Under "Care Model", select "Clinical
Information Systems". Then select "PECS
User Manual." (not a Government Web
site)
Cost
Reporting
Medicare
Cost Reporting for Federall Qualified Health
Centers (PDF)
(not a Government Web site)
Costing
Tool
Technical
Assistance Costing Tool (TACT) to Identify
Cost in Providing HIV/AIDS Care. For webcast
and supporting materials, go to: TACT
web
Cultural
Competence
Disabled
Serving
Persons with Disabilities in Medicaid Managed
Care: Assuring Continuity, Quality and Cost
Effectiveness - Conference Proceedings
Disease
Management
(All of the Disease Management sites are
not Government Web sites.)
(1)
Health
Disparities Collaboratives
(2)
Diabetes
Electronic Management System
Documenting
Ambulatory Care (see Disease
Management)
Dual
Eligibles
Dual
Eligibles: Medicaid's Role for Low-Income
Medicare Beneficiaries - PDF file on
The Henry J. Kaiser Family Foundation web
(not a Government Web site)
Health
Care Financing Review - a link to the
Centers for Medicare and Medicaid Services
web
Electronic
Data Interchange
Workgroup
for Electronic Data Interchange - WEDI
(not a Government Web site)
Evaluation
and Management (E&M) Coding
Federal
Medical Assistance Percentages (FMAP)
- Federal share or match to State expenditures
Federal
Medical Assistance Percentages
Federal
Poverty Guidelines - sometimes inaccurately
refered to as "Federal Poverty Level"
(FPL)
Federal
Poverty Guidelines
Financing
and Reimbursement Strategies for Children
with Special Health Care Needs
The
Development of Financing and Reimbursement
Strategies for Children with Special Health
Care Needs: Volume
I: Narrative (PDF file: 475 KB) and
Volume
II: Appendices (PDF file: 278 KB) is
a report by the National
Center on Financing for Children with Special
Health Care Needs in the Institute for
Child Health Policy at the University of
Florida. (not a Government Web site)
Fiscal
Intermediary for FQHC's
United
Government Services, LLC (UGS) – UGS
is the fiscal intermediary for FQHC Medicare
nationally. UGS works with FQHC’s on provider
enrollment, cost report preparation and
audit, and FQHC Medicare claims processing.
Site includes Medicare cost report and instructions,
provider notices, Medicare Memos, and the
Appeals process. (not a Government Web site)
Glossary
- Glossary
of Health Care Financing Terms
Health
Care Compliance - Sixth
Annual National Congress on Health Care
Compliance
(not a Government Web site)
HIPAA
- HRSA's
HIPAA Web Site
HRSA
Grants Information
Department
of Health & Human Services (DHHS)
www.dhhs.gov/grants/
Health Resources Services Administration
(HRSA)
www.hrsa.gov/grants/
IRS
Forms
Instructions
- Form 990 for Not-for-Profit Organizations
www.irs.gov/pub/irs-pdf/i990-ez.pdf
Form
990 – Not for Profit Organizations
www.irs.gov/pub/irs-pdf/f990.pdf
Medicaid
Primer -
Opportunities
to Use Medicaid in Support of Access to
Health Care Services
On
this web, view fact sheets which assist
state and local health officials in understanding
how Medicaid works and how it can assure
access to health services for underserved
populations.
Medicaid
Prospective Payment System (PPS)
"Health
Centers and Rural Clinics: State and Federal
Implementation Issues for Medicaid's New
Payment System" on Government Accountability
Office (GAO) web.
FQHC
Medicaid PPS Legislation, NACHC Issue Brief
#69 – Explains the Prospective Payment System
statute for Medicaid as it relates to FQHCs
and RHCs
http://www.nachc.com/pubmgr/Catalog.asp
(not a Government Web site)
Medicaid
- State by State
State
Medicaid Agencies listed at National
Association of State Medicaid Directors
(not a Government Web site)
State
Health Facts by Kaiser Family Foundation
(not a Government Web site)
Descriptions
of State Programs by Centers for Medicare
and Medicaid Services
Medicare
- Medicare
Modernization Act of 2003 and Medicare Prescription
Drug Program
Mental
Health - see
Behavioral
Health
OMB
Circulars
U.S.
Office of Management & Budget Administrative
Requirements OMB Circular A-110
www.whitehouse.gov/omb/circulars
Cost Principles OMB Circular A-122
www.whitehouse.gov/omb/circulars
Audit Requirements OMB Circular A-133
www.whitehouse.gov/omb/circulars
Program
Assistance Letters (PALs) from
BPHC
www.BPHC.HRSA.GOV/policy/default.htm
Policy
Information Notices (PINs) from
BPHC
www.BPHC.HRSA.GOV/policy/default.htm
Purchasing
Specifications - View
model contracting language for states and
managed care organizations:
Practice
Management - The
ACMPE Guide to the Body of Knowledge for
Medical Practice Management (PDF file
- 144 pages - 2.77 MB - not a government
Web site)
Provider
Relations, Medicaid - Medicaid
Provider Relations Telephone Numbers
(a PDF file on the Centers for Medicare
and Medicaid Services web)
Sliding
Fee Scales
Substance
Abuse - see
Behavioral
Health
Uniform
Data System (UDS)
UDS
Overview
Search
for HRSA Publications
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