Collection · 13 articles
The 2026 FQHC Funding Cliff
Community health centers are navigating the largest Medicaid changes in a generation — the December 31, 2026 triple cliff (Community Health Center Fund, CalAIM waiver, MCO tax), signed-budget State-Only/UIS PPS and dental reductions now in a July 1, 2027 planning horizon, and the SB 525 wage floor. This collection tracks what changes, when, and how to model the revenue impact.
4 of 13 articles marked current · Newest review Oct 2, 2026
Track funding, payer mix, PPS, revenue, and budget pressure signals.
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Data Report
Same federal cuts, two paths for community health centers in 2026
Every U.S. health center faces the December 31, 2026 funding cliff, Medicaid work rules, and 340B pressure. Some states backfill and some retreat. What the growing centers did.
11 min readCurrent · rev. Sep 4, 2026 - 02
Data Report
How U.S. health centers compare with primary care in a dozen countries
Brazil, Costa Rica, Thailand, Ontario, Alaska's Nuka, and other community primary care models, measured against U.S. FQHCs on outcomes and cost.
14 min readCurrent · rev. Jul 28, 2026 - 03
Policy & Strategy
Three health-center funding authorities expire on December 31, 2026
On December 31, 2026, the $4.6 billion federal Community Health Center Fund, California's CalAIM waiver, and the Medi-Cal MCO tax all expire. Each one carries a different risk.
14 min readWatch · rev. Oct 2, 2026 - 04
Policy & Strategy
The signed budget delays California clinic payment cuts to July 2027
Newsom signed the 2026-27 budget on June 29. SB 525 and Section 504 still apply now. UIS/PPS, UIS dental, and Prop 56 dental cuts move to July 1, 2027.
13 min readWatch · rev. Sep 4, 2026 - 05
Policy & Strategy
Use the UIS/PPS delay to model your 2027 payment cut
The signed budget moved the UIS/PPS cut from July 2026 to July 1, 2027. This CFO worksheet helps you build your own estimate.
10 min readWatch · rev. Sep 4, 2026 - 06
Policy & Strategy
How California's Medi-Cal MCO tax funds your rate floor
California's Medi-Cal MCO tax pays for the primary care rate floor in FQHC payments. This explains the tax as it stood before the June 15, 2026 budget deadline.
9 min readWatch · rev. Sep 4, 2026 - 07
Policy & Strategy
The CY2026 Medicare care-management codes FQHCs can bill now
FQHCs can bill APCM codes G0556, G0557, and G0558 for monthly Medicare care management with no downside-risk contract. CY2026 adds BHI codes and retires G0512 and G0071.
9 min readWatch · rev. Oct 2, 2026 - 08
Strategy
C3's $10.2 million result shows FQHC-run ACOs can save money
C3's 2024 results, $10.2 million net and 8.1% savings, show an FQHC-governed Medicare ACO can succeed. California health centers that use OCHIN can apply its lessons.
9 min readCurrent · rev. Jun 29, 2026 - 09
Clinical Operations
How to start the Collaborative Care Model (CoCM) at your FQHC
The three CoCM roles, the patient registry, measurement-based care, and how Medicare codes G0568, G0569, and G0570 pay for work your team already does.
10 min readWatch · rev. Oct 2, 2026 - 10
Policy Analysis
Newsom's May Revision kept every January Medi-Cal cut and added four
Newsom's May 14, 2026 revision kept every January Medi-Cal cut and added four, including an asset limit and the end of Prop 56 payments. A line-by-line budget read for FQHCs.
14 min readHistorical · rev. Jun 29, 2026 - 11
Policy Analysis
Four CalAIM renewal scenarios for FQHC CFOs before December 31, 2026
California's CalAIM 1115 waiver expires December 31, 2026. About $1.2 billion a year for ECM and Community Supports rides on renewal. We expect a narrower renewal.
16 min readWatch · rev. Sep 4, 2026 - 12
Strategy
Measure ER passed. What LA FQHCs should plan before October 1, 2026
LA County's Measure ER passed, and the half-cent sales tax starts October 1, 2026. LA FQHCs now need plans for bridge funding, allocation, and reporting.
10 min readCurrent · rev. Jun 29, 2026 - 13
Career Resources
Medi-Cal funding risk for community health workers, as of February 2026
In February 2026, Medi-Cal funding cuts put community health worker jobs at risk. The June 2026 budget later delayed major clinic and dental cuts to July 1, 2027.
8 min readHistorical · rev. Jul 1, 2026
Source table
127 outside sources cited in this collection's articles. Each appears once, most cited first.
- ×4
- CHCF×3
chcf.org
- CalAIM 1115 and 1915(b) Waiver Renewals×3
dhcs.ca.gov
- ×3
- ×2
- Community Care Cooperative (C3)×2
communitycarecooperative.org
- DHCS — Medi-Cal Changes 2026-2028×2
dhcs.ca.gov
- ×2
- Health Affairs (Kangovi et al., 2020)×2
healthaffairs.org
- ×2
- NACHC — 2024 UDS Early Takeaways×2
nachc.org
- NACHC×2
nachc.org
- California Senate Budget Summary×2
sbud.senate.ca.gov
- 340B Report
340breport.com
- Aledade
aledade.com
- Annals of Family Medicine (2013)
annfammed.org
- Aurrera Health Group — Laying the Groundwork to Sustain CalAIM
aurrerahealth.com
- HRSA
bhw.hrsa.gov
- HRSA
bhw.hrsa.gov
- DHCS — ECM and Community Supports Quarterly Implementation Data
calaim.dhcs.ca.gov
- Cal Budget Center — First Look: 2026-27 May Revision
calbudgetcenter.org
- Timeline of Funding Cuts to Medi-Cal and CalFresh in California
calbudgetcenter.org
- California's budget standoff over Medi-Cal taxes
calmatters.org
- CalMatters — Newsom's Final Budget
calmatters.org
- California final budget deal
calmatters.org
- Tracking Implementation of H.R. 1 Medicaid Work Reporting Requirements
ccf.georgetown.edu
- Dahn et al. (2015) — CHW Investment Case
chwcentral.org
- ACO REACH Model
cms.gov
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