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MLN006397 - Federally Qualified Health Center

This revised product comprises Subregulatory Guidance for the Federally Qualified Health Center, and its content is based on publicly available content at,,, and CMS policy or operation subject matter experts also reviewed/cleared this product. This product educates Federally Qualified Health Centers (FQHCs) about billing and payment. This product also includes information on various FQHC topics such as who is considered an FQHC practitioners, Patient Services, Certification, Visits, Payments, Care Management Services, Flu & Pneumococcal Shots, COVID-19 Shots, & COVID-19 Monoclonal Antibody Therapies, Hepatitis B Shot Administration & Payment, Telehealth, Virtual Communication Services, and Consent for Care Management & Virtual Communication Services and includes links to applicable laws, regulations, and compliance information.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 18, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.