An FQHC is an acronym that stands for a Federally Qualified Health Maintenance Organization. This type of health care plan pays benefits for services rendered by physicians surgeons hospitals and other medical professionals who belong to FQHCs. An FQHC is also referred to as a Preferred Provider Organization or PPO.
An FQHC is a reimbursement classification under the Centers for Medicare & Medicaid Services and the Federal government’s Bureau of primary health care. It was first created to provide more affordable and efficient primary health care services in rural areas where primary care doctors could not be found. This is still very popular today and allows for better health care services to be provided in these communities.
In order to qualify for the FQHC you must have access to health care professionals who belong to the FQHCC. These professionals are not required to be board certified but may be required to meet certain qualifications. All physicians who are members of FQHCs must meet a set of quality benchmarks in order to become FQHCC members. Members of FQHCs may also elect to accept payment directly from the government. They must pay for any service rendered and must agree to accept payment from the government. The insurance carriers are not allowed to reimburse FQHC members.