FQHC/RHC Annual Rate Adjustment

October 20, 2020

Effective for dates of service on or after October 1, 2020, per federal requirements, Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) received an annual rate adjustment. Under the Prospective Payment System (PPS), reimbursement rates are increased by 1.9 percent to reflect the current Medicare Economic Index (MEI).

An Erroneous Payment Correction (EPC) will be initiated to reprocess affected claims. No action is required of providers.