Federally Qualified Health Centers

Federally Qualified Health Centers (FQHC) establish a set of health care services for Medicaid customers, offering core services or other ambulatory services. FQHCs were added to the Medicaid program through a Social Security Act amendment, Section 6404 of Public Law 100-203.

Fee Schedules

Clinical Coverage Policy 1D-4, Core Services Provided in Federally Qualified Health Centers and Rural Health Clinics

Federally Qualified Health Center/Rural Health Clinics (FQHC/RHC) Free-standing Facilities

Financial Information

Core Billing Rates

To establish and maintain rates for FQHC providers, the following documents must be submitted to NC Medicaid by mail or fax:

  • Enrollment letters from the Centers for Medicare and Medicaid Services (CMS)
  • Enrollment letters from NC Medicaid Provider Enrollment
  • Initial and annually updated fiscal intermediary rate letters

Change in Scope of Services


April High
Phone: 919-527-7629
Fax: 919-831-1811
Email: april.high@dhhs.nc.gov

Mailing Address
2501 Mail Service Center
Raleigh NC 27699-2501

NC Medicaid Clinical Section
Phone: 919-855-4260
Fax: 919-733-2796