Federally Qualified Health Centers Information Center
Your one-stop resource for Medicare payment rates, billing guidance, policy updates, and tools for federally qualified health centers (FQHCs).
Announcements
Resources
Enrollment & Participation
- Medicare Provider-Supplier Enrollment
- Enrollment Applications
- Conditions for Coverage (CfCs) & Conditions of Participation (CoPs)
- CfC and CoP: RHC/FQHC
- Quality, Safety & Oversight - General Information
- FQHC Location Identifier
Coverage
Program Manuals & Transmittals
- Manuals
- State Medicaid Manual - Paper-Based Manual
- Medicare Claims Processing Manual, Chapter 9: RHCs/FQHCs
- Medicare Benefit Policy Internet Only Manual, Chapter 13: RHC & FQHC Services
- Transmittals
FAQs
Billing & Payment
- CY 2026 Payment Rate Update to the FQHC PPS (PDF)
- CY 2025 Payment Rate Update to the FQHC PPS (PDF)
- CY 2024 Payment Rate Update to the FQHC PPS
- CY 2023 Payment Rate Update to the FQHC PPS
- CY 2022 Payment Rate Update to the FQHC PPS
- CY 2021 Payment Rate Update to the FQHC PPS
- CY 2020 Payment Rate Update to the FQHC PPS
- Grandfathered Tribal FQHCs
- Independent RHC & Freestanding FQHC Cost Report Form: CMS 222-92 (ZIP)
Coding
- HCPCS
- ICD-10
- FQHC PPS Specific Payment Codes (PDF) - Updated 12/07/2017
- FQHC Preventive Services (PDF): Information on preventive services in FQHCs including HCPCS coding, same day billing, and waivers of co-insurance.
Policies, Regulations, & Legislation
- Revisions to Payment Policies Under the Physician Fee Schedule & Other Revisions to Part B for CY 2019
- Revisions to Payment Policies under the Physician Fee Schedule & Other Revisions to Part B for CY 2018
- Previous FQHC Regulations & Other Supporting Information (PDF)
- Section 10501 of the Patient Protection and Affordable Care Act of 2010, as consolidated and amended through May 10, 2010
Educational Resources
Stay Informed
- Subscribe to our MLN Connects® newsletter to learn about Medicare coverage, billing, and payment updates for health care providers
- Visit the Newsroom for press releases and fact sheets
Page Last Modified:
07/01/2026 12:05 PM