Strategy: Maintaining Sliding Fee Scale Access When PPS Rates Are Cut
When PPS rates drop for undocumented patient services (Oct 2026), FQHCs must decide: absorb the loss and maintain access, or restrict services. Tactics include maximizing 340B drug pricing savings, renegotiating managed care contracts to cross-subsidize, applying for HRSA New Access Points or expanded scope grants, and partnering with county indigent care programs for supplemental funding.
Key takeaways
- PPS rates for undocumented patient services drop Oct 2026 — FQHCs must decide: absorb the loss or restrict services
- Maximize 340B drug pricing savings to cross-subsidize reduced PPS revenue
- Renegotiate managed care contracts and apply for HRSA New Access Points or expanded scope grants
- Partner with county indigent care programs for supplemental funding to maintain sliding fee access
Primary source
NACHCFQHC Talent. (2026, February 27). Strategy: Maintaining Sliding Fee Scale Access When PPS Rates Are Cut. Primary source: NACHC. Retrieved April 28, 2026, from https://www.fqhctalent.com/intel/strategy-sliding-fee-pps-cuts
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