3.1.1 Initial Cost ReportingNew FQHCs must file a projected cost report within 90 days of their designation as an FQHC to establish an initial payment rate. The cost report will contain the FQHC's reasonable costs anticipated to be incurred during the FQHC's initial fiscal year. The FQHC must file a cost report within 5 months of the end of the FQHC's initial fiscal year. The cost settlement must be completed within 11 months of the receipt of a cost report. The cost per visit rate established by the cost settlement process shall be the base rate. Any subsequent increases shall be calculated as provided herein. FQHC providers are required to submit a copy of their Medicare-audited cost report for the provider's fiscal year within 15 days of receipt from Medicare to:
Texas Medicaid & Healthcare Partnership A new FQHC location established by an existing FQHC participating in Texas Medicaid will receive the same effective rate as the FQHC establishing the new location. An FQHC establishing a new location may request an adjustment to its effective rate as provided herein if its costs have increased as a result of establishing a new location. Refer to: Subsection 1.1, "Provider Enrollment" in Section 1, Provider Enrollment and Responsibilities (Vol. 1, General Information) for more information about enrollment procedures. Section 8: Managed Care (Vol. 1, General Information) for more information. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2009 American Medical Association. All rights reserved. |
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