24-845 Update: Harbor Community Health Centers Opt Out of Participation in APM Pilot Program
Date: 08/12/24
This is a change to the Provider Update sent on June 24, 2024
The Department of Health Care Services (DHCS) has provided notice that Harbor Community Health Centers has opted out of participating in the Federally Qualified Health Centers (FQHCs) Alternative Payment Methodology (APM) pilot program that started on July 1, 2024.
Learn more about the APM pilot program, including how payments are made and what’s covered
Refer to provider update 24-531, New Federally Qualified Health Centers Alternative Payment Methodology Pilot Begins July 1, 2024, distributed on June 24, 2024, for more details on how the program strives to incentivize delivery system and practice transformation under a capitated reimbursement model.
More information is also available through the resources below:
- Current information on participating FQHCs, including updated rates and applicable NPIs – FQHC and RHC Current Rates (PDF).
- To learn more about the new APM for FQHCs.
Additional Information
Providers are encouraged to access the provider portal for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.
If you have questions regarding the information contained in this update, contact Community Health Plan of Imperial Valley at 833-236-4141.
This information applies to Participating Physician Groups (PPGs).
This information applies to Medi-Cal in Imperial county.