Grandfathered Tribal FQHCs
Grandfathered Tribal FQHCs
A tribe or tribal organization clinic can get certified and paid as a grandfathered tribal FQHC, if it’s:
- Operating under the Indian Self-Determination Act
- Billing as a provider-based to an Indian Health Services (IHS) hospital
- No longer operating as a provider-based department of an IHS hospital
- Meeting conditions in 42 CFR 413.65(m) on or before April 7, 2000
- Changed status from IHS to a tribal operation, or vice versa, on or after April 7, 2000
- Realigned the clinic from IHS or tribal hospital to another IHS or tribal hospital, such that the organization no longer meets the Conditions of Participation (CoPs)
- Meeting all FQHC certification and payment requirements
Payment Policy/Billing
Training & Presentation Materials
- Grandfathered Tribal FQHC Training (PDF)
- All Tribes Call on Grandfathered Tribal FQHCs Presentation (PDF)
- Specific Payment Codes for Grandfathered Tribal FQHCs (PDF)
Page Last Modified:
09/10/2024 06:23 PM