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As part of the Department’s efforts to shift providers from volume to value, the Department, along with stakeholders, has developed a payment model to make differential payments based on the provider’s performance. This payment model aims to give providers greater flexibility in care provided, reward performance, and maintain transparency and accountability in payments made. Under the proposed model, a portion of the Federally Qualified Health Center's Alternative Payment Methodology (APM) cost-based rates will be tied to quality activities and performance metrics. Progress within this framework not only encourages higher organizational performance but also helps the Accountable Care Collaborative (ACC) achieve its respective programmatic goals.
Implementation of the Alternative Payment Model (APM) for participating practices:
Practices should select APM measures in November and December 2018 in order to properly report progress or challenge areas identified during the 2019 performance year.
The initial measure selection survey for the 2019 performance year is closed. The Department will be sending confirmation emails to the contacts provided in the survey. FQHCs will have the option to change the measures they selected for 2019 towards the end of 2018. If you have questions about the FQHC APM please contact Marija Weeden at firstname.lastname@example.org. For information regarding the non-FQHC primary care APM, please find additional resources here.
FQHC Survival Guide * Updated February 2019