FQHC Chronic Care Enrollment Checklist | Tile Healthcare
Streamline FQHC patient enrollment for APCM and chronic care programs. Ensure HRSA compliance and PPS reimbursement accuracy with AI-driven outreach.
Enrolling patients in Advanced Primary Care Management (APCM) within an FQHC environment requires balancing complex clinical documentation, PPS reimbursement rules, and HRSA compliance. This checklist provides a structured path to identify, screen, and enroll chronic care patients using AI-driven outreach to maximize health center revenue and improve health equity.
Work through each item below to audit your practice. Check off completed items to track where you stand.
Patient Identification & PPS Eligibility
Target the right patients while ensuring compliance with FQHC Prospective Payment System (PPS) rules.
Multilingual AI Outreach & Engagement
Scale patient engagement across diverse populations without increasing the burden on health center staff.
Consent & Financial Documentation
Properly document patient agreement and manage the unique financial requirements of community health centers.
Clinical Screening & SDoH Integration
Incorporate Social Determinants of Health (SDoH) into the enrollment process as required for FQHCs.
HRSA Compliance & Reporting Alignment
Ensure every enrollment supports the health center's broader regulatory and reporting goals.
Frequently Asked Questions
No. APCM is an add-on payment that does not replace or reduce your PPS reimbursement for face-to-face visits, providing additional PMPM revenue.
Our AI system detects the patient's preferred language and conducts the entire enrollment conversation in that language, ensuring equitable access.
Yes. FQHCs must apply the SFS to APCM services just as they do for other services, ensuring the program is accessible to low-income patients.
By integrating SDoH screenings and clinical quality measure tracking into the enrollment workflow, you capture the data needed for UDS Table 6B and 7.
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