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Contents
WHAT IS A COMMUNITY HEALTH CENTER? ................................... 3
Federal Grant Requirements ......................................................... 4
Federal Payment Policy ................................................................. 5
WHERE ARE HEALTH CENTERS LOCATED? ...................................... 7
WHOM DO HEALTH CENTERS SERVE? ............................................ 8
WHAT SERVICES DO HEALTH CENTERS PROVIDE? .......................... 8
WHAT TYPES OF PROVIDERS DELIVER CARE
IN HEALTH CENTERS? ................................................................. 10
National Health Service Corps Program ....................................... 10
J-1 Visa Waiver Program ............................................................. 11
Malpractice Coverage Through the Federal Tort Claims Act ........ 12
HOW ARE HEALTH CENTERS FINANCED? ..................................... 12
The Mechanics of Medicaid Cost-Based Reimbursement............. 14
Grant Funds ............................................................................... 15
Private Health Insurance ............................................................. 16
Medicare .................................................................................... 17
The Bottom Line ......................................................................... 17
HOW DO HEALTH CENTERS ENSURE HIGH-QUALITY CARE? ......... 17
Performance Review and Accreditation....................................... 18
Improving Clinical Care Processes ............................................... 18
WHAT HAS BEEN THE IMPACT OF THE RECENT HEALTH
CENTER EXPANSION INITIATIVE? ................................................. 20
Geographic Distribution of Expansion Funds ............................... 22
Workforce Implications ............................................................... 23
WHAT FUTURE POLICY CHANGES ARE IN STORE FOR
HEALTH CENTERS? ..................................................................... 23
Measures of Underservice ........................................................... 24
Competitive Award Process ........................................................ 25
Relationship Between 330 Grants, Medicaid, and Public
Insurance Coverage Policies ........................................................ 26
Alternative Models for Safety Net Services .................................. 27
CONCLUSION............................................................................... 28
ENDNOTES ................................................................................... 28
APPENDIX..................................................................................... 31
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