MedicaidReimbursementLow impact
Payment to Federally Qualified Health Centers for Unforseen Illnesses
Maryland Medicaid·MD · Family Medicine, General Practice, Emergency Medicine·Managed Care Organizations
We identified it
Jun 20, 2026
Summary
This policy establishes payment guidelines for Federally Qualified Health Centers (FQHCs) when treating unforeseen illnesses under Maryland Medicaid managed care. The policy clarifies reimbursement procedures and billing requirements for emergency or urgent care services provided by FQHCs.
Action Required
FQHC billing teams should review current emergency/urgent care billing procedures for Maryland Medicaid managed care patients to ensure compliance with established payment guidelines. Verify that billing systems properly handle reimbursement for unforeseen illness encounters.