OHCA Primary Care Addendum Defines HCPCS/CPT Codes for FQHC Spending Target — Operationalizes Primary Care Investment Mandate

California's Office of Health Care Affordability (OHCA) released a Primary Care Addendum specifying which CPT/HCPCS codes count toward the state's primary care spending target — including psychological collaborative care services and home visit care management codes available through FQHCs. This operationalizes CHCF's 'double down on primary care' initiative and creates a measurement framework that could route more managed care primary care dollars to FQHCs.

For FQHC strategy teams: codes that count = revenue priorities. Pairs with the multipayer primary care payment model proposal (April 10) covering Medi-Cal + CalPERS + Covered California — together they establish California's structural pivot to capitated primary care, which favors FQHCs that build infrastructure now (population health, risk stratification, attribution).