Live Industry Intelligence
Built by ASP-RCM Solutions for health centers and rural health clinics
A live, sourced view of state Medicaid policy for federally qualified health centers and rural health clinics across all 50 states and DC: PPS and APM rates, MCO wraparound and reconciliation, encounter billing rules, telehealth, dental and behavioral health. Every cell links to the primary source. Updated by the ASP-RCM industry-intelligence team.
For the rules layer behind these rates, when each state resets its FQHC PPS rate, what a change in scope must clear, who owes the wrap and how long a plan has to reprocess after a retroactive change, see the FQHC Medicaid rate calendar and reprocessing rulebook.
Recent federal-level moves rippling across every state Medicaid program and commercial payer simultaneously. Click any card for the primary source.
Pick a state to see every verified change for it, with the date and the primary source. Darker tiles have more changes this cycle.
| State / Jurisdiction | PPS / APMrates, MEI, scope | WraparoundMCO reconciliation | Encounter billingT1015, same-day | Telehealthdistant site | Dentalencounter policy | Behavioral healthintegration, CCBHC | Managed careMCO contracting | Otherstate-specific |
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We run revenue cycle for health centers. Send us your state, PPS rate and MCO list and we will show you where wraparound and encounter rules are leaving money on the table.
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