FQHC Advanced Primary Care Practice Demonstration Participants

$179 / year

This dataset shows the Federally Qualified Health Centers (FQHCs) advanced primary care practice demonstration participants by the Centers for Medicare and Medicaid Services (CMS) Innovation Center.

Complexity

FQHC provides medical services to at least 200 Medicare beneficiaries (with Part A and Part B coverage, not Medicare Advantage) in a 12-month period, including those with both Medicare and Medicaid (dual eligible) coverage. CMS has reviewed administrative data and determined which FQHCs have met this criterion.

Beneficiaries, including dually eligible Medicare/Medicaid beneficiaries, must be enrolled in the Medicare Part A and Part B fee-for-service program, during the initial 12 month lookback period, and must not be currently in hospice care or under treatment for end-stage renal disease.

Participating FQHCs receive a monthly care management fee of $6.00 for each eligible Medicare beneficiary attributed to their practice to help defray the cost of transformation into a person-centered, coordinated, seamless primary care practice. This payment, which is made quarterly, is in addition to the usual all-inclusive payment FQHCs receive for providing Medicare covered services.

Date Created

2011-10-25

Last Modified

2017-06-29

Version

2017-06-29

Update Frequency

Irregular

Temporal Coverage

2017

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

FQHC, Federally Qualified Health Centers, Advanced Primary Care Practice, Medicare Beneficiaries, Part A and Part B Coverage, Electronic Funds Transfer, Medicare Beneficiaries, Participating FQHCs

Other Titles

Advanced Primary Care Practice Model, Medicare beneficiaries Served by FQHCs

NameDescriptionTypeConstraints
Practice_NamePractice name which use FQHCstring-
AddressAddress of the practicestring-
CityCity where practice is locatedstring-
State_AbbreviationState where practice is locatedstring-
ZIP_CodeZIP Code of the practiceintegerlevel : Nominal
LatitudeLatitude location of the practicenumber-
LongitudeLongitude location of the practicenumber-
Practice_NameAddressCityState_AbbreviationZIP_CodeLatitudeLongitude
ARcare - 4024 E Front StHazenAR7206434.78090973-91.58082197
Canal Site268 Canal StNew YorkNY1001340.71890283-74.0011783
ARcare - 10623 N 9th StAugustaAR7200635.28852947-91.35794262
ARcare - 70615 N Main StBrinkleyAR7202134.89347049-91.1945268
Valley Health Harts22 Fleming DrHartsWV2552438.02178-82.13142
CAMcare-East2610 Federal StCamdenNJ810539.94614256-75.08824677
Valley Health CarePO Box 247Mill CreekWV2628038.72502-80.05533
CHC Cambria2515 Main St Ste BCambriaCA9342835.5657022-121.0799067
ARcare - 551530 N Church StJonesboroAR7240135.85957812-90.70330609
ARcare - 80606 Wilbur D Mills NorthKensettAR7208235.23632-91.66766