Federally Qualified Health Center (FQHC)

Patient-Provider Relationship

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Disclaimer

PLEASE NOTE: CCHP is providing the following for informational purposes only. We are not providing legal advice or interpretation of the laws and regulations and policies. CCHP encourages you to check with the appropriate state agency for further information and direction. This information should not be construed as legal counsel. Consult with an attorney if you are seeking a legal opinion.

Federal

Last updated 09/09/2022

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Alabama

Last updated 11/15/2022

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Alaska

Last updated 11/17/2022

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Arizona

Last updated 10/19/2022

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Arkansas

Last updated 10/17/2022

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California

Last updated 09/06/2022

An FQHC is not precluded from establishing a new patient …

An FQHC is not precluded from establishing a new patient relationship through video synchronous interaction.

An FQHC may not establish a new patient relationship using an audio-only synchronous interaction. Notwithstanding this prohibition, the department may provide for specific exceptions to this prohibition, which shall be developed in consultation with affected stakeholders and published in departmental guidance.

An FQHC is not precluded from establishing a new patient relationship through an asynchronous store and forward modality, as defined in subdivision (a) of Section 2290.5 of the Business and Professions Code, if the visit meets all of the following conditions:

  • The patient is physically present at an originating site that is a licensed or intermittent site of the FQHC at the time the service is performed.
  • The individual who creates the patient records at the originating site is an employee or contractor of the FQHC, or other person lawfully authorized by the FQHC to create a patient record.
  • The FQHC determines that the billing provider is able to meet the applicable standard of care.
  • An FQHC patient who receives telehealth services shall otherwise be eligible to receive in-person services from that FQHC pursuant to HRSA requirements.

SOURCE: WIC 14132.100, as amended by SB 184 (2022 Session) – effective January 1, 2023. (Accessed Sept. 2022).

Established Patient – A Medi-Cal eligible recipient who meets one or more of the following conditions:

  • The patient has a health record with the FQHC that was created or updated during a visit that occurred in the clinic or during a synchronous telehealth visit in a patient’s residence or home with a clinic provider and a billable provider at the clinic. The patient’s health record must have been created or updated within the previous three years.
  • The patient is homeless, homebound or a migratory or seasonal worker (HHMS) and has an established health record that was created from a visit occurring within the last three years that was provided outside the originating site clinic, but within the FQHC’s service area. All consent for telehealth services for these patients must be documented.
  • The patient is assigned to the FQHC by their Managed Care Plan (MCP) pursuant to a written agreement between the plan and the FQHC.

SOURCE: CA Department of Health Care Services (DHCS). Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHC) Outpatient Services Manual. Aug. 2020. Pg. 11. (Accessed Sept. 2022).

A patient may not be “established” on an asynchronous store and forward service, with the exception of HHMS.

SOURCE: CA Department of Health Care Services (DHCS). Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHC) Outpatient Services Manual. Aug. 2020. Pg. 12. (Accessed Sept. 2022).

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Colorado

Last updated 10/21/2022

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For general information about forming a patient-provider …

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For general information about forming a patient-provider relationship see: Colorado Professional Requirements Online Prescribing

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Connecticut

Last updated 08/10/2022

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For general information about prescribing see: CT

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For general information about prescribing see: CT Professional Requirements Online Prescribing

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Delaware

Last updated 08/24/2022

No explicit FQHC reference found.

For general information about forming …

No explicit FQHC reference found.

For general information about forming a patient-provider relationship see: DE Professional Requirements Online Prescribing

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District of Columbia

Last updated 09/03/2022

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Florida

Last updated 10/26/2022

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For general information about prescribing see: Florida

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For general information about prescribing see: Florida Professional Requirements Online Prescribing

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Georgia

Last updated 10/22/2022

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Hawaii

Last updated 10/29/2022

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Idaho

Last updated 08/22/2022

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Illinois

Last updated 11/18/2022

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Indiana

Last updated 10/30/2022

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Iowa

Last updated 10/25/2022

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Kansas

Last updated 08/24/2022

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Kentucky

Last updated 10/31/2022

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Louisiana

Last updated 11/08/2022

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Maine

Last updated 10/18/2022

An initial assessment, which must include a direct encounter with …

An initial assessment, which must include a direct encounter with the member, and his/her family if appropriate, shall be performed and included in the member’s FQHC record. The assessment must include the member’s medical and social history and must include the member’s diagnosis and the professional who made the diagnosis and that person’s credentials.

SOURCE: MaineCare Benefits Manual, Federally Qualified Health Centers, 10-144 Ch. 101, Sec. 31, pg. 7. (Accessed Oct. 2022).

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Maryland

Last updated 11/22/2022

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For general information about forming a patient-provider …

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For general information about forming a patient-provider relationship see: MD Professional Requirements Online Prescribing

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Massachusetts

Last updated 11/17/2022

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Michigan

Last updated 11/22/2022

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Minnesota

Last updated 10/24/2022

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Mississippi

Last updated 11/17/2022

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Missouri

Last updated 08/19/2022

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Montana

Last updated 11/01/2022

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Nebraska

Last updated 11/18/2022

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Nevada

Last updated 11/03/2022

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New Hampshire

Last updated 11/10/2022

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New Jersey

Last updated 09/06/2022

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New Mexico

Last updated 10/28/2022

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New York

Last updated 08/25/2022

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North Carolina

Last updated 11/03/2022

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North Dakota

Last updated 11/08/2022

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Ohio

Last updated 09/07/2022

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Oklahoma

Last updated 09/05/2022

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Oregon

Last updated 11/10/2022

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Pennsylvania

Last updated 09/06/2022

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Puerto Rico

Last updated 09/08/2022

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Rhode Island

Last updated 10/21/2022

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South Carolina

Last updated 08/12/2022

No explicit FQHC reference found. For general information about prescribing …

No explicit FQHC reference found. For general information about prescribing see: SC Professional Requirements Online Prescribing

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South Dakota

Last updated 11/10/2022

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Tennessee

Last updated 09/04/2022

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Texas

Last updated 09/07/2022

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Utah

Last updated 08/23/2022

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For general information about forming a patient-provider …

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For general information about forming a patient-provider relationship

See: Utah Professional Requirements Online Prescribing

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Vermont

Last updated 10/27/2022

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Virgin Islands

Last updated 09/08/2022

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Virginia

Last updated 11/23/2022

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Washington

Last updated 08/26/2022

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West Virginia

Last updated 09/02/2022

No explicit FQHC reference found.

For general information about forming …

No explicit FQHC reference found.

For general information about forming a patient-provider relationship see: WV Professional Requirements Online Prescribing

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Wisconsin

Last updated 11/21/2022

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Wyoming

Last updated 10/19/2022

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Federally Qualified Health Center (FQHC)

Patient-Provider Relationship

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