Texas Primary Care Office Texas Primary Care Office FQHC Open FQHC Open Enrollment Enrollment Training Training Fiscal Year (FY) Fiscal Year (FY) 2010 2010 Texas Primary Care Office (TPCO) Federally Qualified Health Clinic (FQHC) Incubator Program July 27, 2009
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Texas Primary Care Office FQHC Open Enrollment Training Fiscal Year (FY) 2010 Texas Primary Care Office (TPCO) Federally Qualified Health Clinic (FQHC)
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Texas Primary Care OfficeTexas Primary Care Office
FQHC Open Enrollment FQHC Open Enrollment TrainingTraining
Fiscal Year (FY) 2010 Fiscal Year (FY) 2010
Texas Primary Care Office (TPCO)
Federally Qualified Health Clinic (FQHC) Incubator Program
July 27, 2009
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Texas Primary Care OfficeTexas Primary Care Office
AgendaAgenda
TX Primary Care Office BerryFQHC Incubator Program Open Enrollment
Application Martin
Program Information, Application Requirements & Contractor’s Procedure Manual Program Requirements Soper Performance Measures/Monitoring Key Deliverables Defined & Completed Gibbons
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AgendaAgenda
General Provisions YoungClient Services Contracting Unit WalkContractor’s Financial COS
Procedures Manual
Questions and Answers
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Successes Future-Primary and Behavioral Health Care Special Initiative
Introduce FQHC Incubator Program StaffReview Agenda
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Application Application
Purpose and Overview Expansion of FQHCs eligible to submit a competitive HRSA/BPHC
application for medical or service expansion Certification as FQHC Look Alike Submittal of competitive HRSA/BPHC application Organizational compliance with HRSA/BPHC PIN 98-23
Program Funding $4.85 Including Primary & Behavioral Hlth Integration Special Initiative Supports TA, organizational development, capital improvements, and
management & clinical salary support
Payment Contract will have specific set of deliverables and a maximum about is
set
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Application/Application/EligibilityEligibility
Category 1-FQHCs Category 2-FQHC Look AlikesCategory 3 health care organization 501(c)(3) &
PIN 98-23 compliant MUA/MUP Articles of Incorporation By-laws Mission Statement Board of Directors Roster (indicate consumers)
Category 4 501(c)(3) or Public Entity
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Application/Application/Program Program LimitationsLimitations
Public entity or 501(c)(3) nonprofit organizationDSHS Performance MeasuresRequested amount not guaranteedNo supplantationFunds used for purpose of FQHC Incubator
ProgramFunds to open new primary care health clinic &
meet program expectations of defined in PIN 98-23
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Application/Application/Program Program LimitationsLimitations
Apply for HRSA/BPHC funding “first available opportunity” or FQHC Look Alike certification when eligible.
Leverage funds & use other funds if deliverable exceeds allowable contracted amount.
Re-negotiate or change deliverables to: Expand services Reduce funding when deliverables are not satisfactorily attained Eliminate supplantation when contractor has bee designated an FQHC
An approved Change of Scope with Open Enrollment Application
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Application/Application/Process & Process & ProceduresProcedures
Read FQHC Incubator Program Information Application Requirements & Contractor’s Procedures Manual.
60 calendar days to process application
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Category 3 health care organization 501(c)(3) & PIN 98-23 compliant and Category 4 501(c)(3) or Public Entity IRS 501(c) (3) or other document that indicates organization is a
public entity MUA/MUP Articles of Incorporation By-laws (Category 3 PIN 98-23 Compliant) Mission Statement (refer to PIN 98-23) Board of Directors (Category 3 PIN 98-23 Compliant-51%
consumer representation)
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Form C Capital Improvement Renovations Lease Signed contract or bid
• Legal description of property to be renovated• Renovation schedule, detailed budget• Development and construction documents• Permits• Est. cost per sq ft• Floor plan (8 ½ by 11 inches)• Etc.
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• Staff credentials• Hours of employment• Location of employment• Description of duties• Line of authority (to whom does position report)• Compensation
• Management positions are considered only for FQHC Look Alikes and Category 3 applicants.
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Application SubmittalApplication Submittal
Mail paper copy to: Dept of State Health Services (DSHS) TX Primary Care Office (TPCO) Mail Code (MC) 1937 Attn: Connie Berry, Manager 1100 West 49th St P.O. Box 149347 Austin, TX 78714-9347
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
I FQHC Incubator Program Requirements
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
Submission of new HRSA/BPHC Grant ApplicationDuring the term of an Incubator Contract, all contractors (Category 1, 2 & 3) must submit an application to HRSA/BPHC for:
New Access Point (NAP), Expanded Medical Capacity (EMC), and/or Service Expansion (oral, behavioral health, special populations, etc).
If no federal funding opportunity becomes available during the contract period, the FQHC Incubator Program contractor is expected to submit an application the following fiscal year regardless of existing FQHC Incubator Program contract status.
The FQHC Incubator program will offer funding for federal grant writing under another contracting opportunity.
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
Category 3 contractors are expected to submit an FQHC Look Alike certification application upon meeting PIN 98-23 program expectations.
The goal of Category 3 funding is to assist the health care organization in meeting PIN 98-23 program expectations during the contract period. A specific date will be negotiated during contract development process.
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
After a contractor has submitted a NAP, EMC, Service Expansion, and/or FQHC Look Alike application, DSHS requests that the following information be submitted:
BPHC application review response if not awarded funds; The BPHC request for additional information for FQHC
Look Alike application (see deliverables for more specific timeline information regarding the FQHC Look Alike application).
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
If an FQHC Incubator Program contractor does not have an enhanced Medicaid/Medicare number and/or other reimbursement numbers the following information must be submitted to DSHS when asked:
a copy of its Medicare and Medicaid clinic enrollment application and/or enrollment for enhanced reimbursement;
monthly update in board minutes on communications with CMS and TMHP regarding status of application for Medicare and Medicaid.
Please note that DSHS will not approve payment for any deliverables if the requirements described above have not been met.
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
Monthly Reporting Requirements All contractors awarded funds for capital improvements
(renovations and/or equipment) and/or salary support must complete and submit from the first month of the contract period until the end of the contract: Monthly Data Report; and, Secretary signed monthly board of directors’ minutes (including
attachments if appropriate) and financial statements.
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
III Performance Measures/Monitoring
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure ManualRequirements/Contractor’s Procedure Manual
DSHS Site Visits and Program Monitoring On Site visits
• to ensure progress towards completion of deliverables• compliance with programmatic and fiscal requirements• contractors’ policies and procedures,• appropriate signage, etc.• review board minutes
TPCO staff will provide follow up documentation of visit findings to the contractor.
Concerns related to the contractor’s performance, specific communications (verbal, email and or hard copy letters) with the contractor will be initiated.
Note: Site visits will be scheduled at a time convenient to the contractor and may occur one or more times during the contract period.
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
IV Deliverables Defined & Standards of Evidence of Completed Deliverables
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Program Information/Application Program Information/Application Requirements/Contractor’s Procedure Requirements/Contractor’s Procedure
ManualManual
ReceiptsContracts for Consulting
Submit contract to TPCO for approval-compensation & timeline
Capital Improvements Receipts for equipment purchases & paid invoices for
contractors and Certificate of Occupancy (C of O)
Salary Support Various documents required for Provider, CMO, CEO, CFO and
Health Ctr Development Coordinator Monthly forms required
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