Guam FQHC Intelligence

CMS's T-MSIS status page, current as of July 31, 2026, lists Guam among 54 reporting entities in production and submitting monthly. It says Guam began submitting T-MSIS data in July 2024 and identifies June 2026 as its latest reporting period.

CMS cautions that the monthly snapshot can lag and does not represent every data-quality issue, so the listing does not establish completeness, correctness or timeliness of individual records, compliance on every measure, health-center attribution, access or outcomes.

On July 27, DPHSS opened public comment through August 17, 2026 on draft Chapter 200, Provider Enrollment, the first revised chapter of the Guam Medicaid and Medically Indigent Program provider manual. The draft addresses provider-type eligibility, required documents, applications, background checks and continued participation.

DPHSS says current providers need take no action now, existing enrollments remain under current guidance, and the new manual will take effect only on or after final release with advance implementation notice. This is a draft and comment period, not a final manual, CMS approval, changed enrollment, new provider count or measured access result.

DPHSS's July 16 release says the Santa Rita WIC Clinic remained temporarily closed until further notice because of continued power problems. Effective immediately, the Inalåhan WIC Clinic at the Southern Region Community Health Center shifted from Tuesday-and-Thursday service to Monday–Friday, 8:30 a.m.–4:30 p.m., except Government of Guam holidays and the last Friday of each month, to accommodate participants normally served at Santa Rita.

DPHSS also said its No Wrong Door policy allows participants to use Northern, Central, or Southern WIC clinics. This is a public-health service-continuity change hosted at a community health center, not a new hospital or general FQHC service line; the release does not quantify appointments, participants redirected, staffing, capacity, benefit issuance, referral completion, reopening date, or outcomes.

On July 14, 2026, OpenGov Guam posted an undated Department of Administration notice stating that the Department of Public Health and Social Services intended to employ Patrick Sotto as Territorial Epidemiologist at $100,335 per year, step 05 of pay grade SX. July 14 is the portal posting date, not an employment, signing or effective date.

The notice says the posting satisfies Guam’s above-step recruitment and transparency requirements. This is notice of an intended personnel action, not proof that employment began or remains current, that the position is newly created, full time or still open, or that a competitive recruitment occurred.

It provides no start date, duties, benefits, funding source, vacancy duration, applicant pool, team size, retention evidence, added service capacity or outcomes. The role concerns government-wide public health; the source does not assign it to either Guam Community Health Center or establish staffing for the directory-listed Health Center Program awardee.

The PDF itself is undated.

Guam DPHSS's July 14 update says the Northern Region Community Health Center resumed services after Typhoon Bavi and, through Friday, July 17, added walk-in periods from 6:00–8:00 a.m. and 5:00–7:00 p.m. for non-emergency concerns and follow-up care, alongside regular Monday–Saturday hours of 8:00 a.m.–5:00 p.m.; new patients and walk-ins were welcome.

Pharmacy and laboratory services were not available during the extended periods, some routine or preventive care could require regular-hour scheduling, and emergencies remained directed to 911 or an emergency room. The Southern Region center remained open Monday–Friday, 8:00 a.m.–5:00 p.m. This is a short recovery schedule, not proof of availability after July 17, added staffing, visit capacity, wait-time change, storm damage, hospital diversion, or patient outcomes.

The current text of 42 U.S.C. 254b-2 appropriates $4.6 billion to the Community Health Center Fund for FY2026 and $1,159,452,055 for October 1–December 31, 2026. It lists no appropriation after that date.

Guam's Health Center Program awardee should therefore treat funding beyond December 31 as pending congressional action, while recognizing that the statutory fund is national and this source does not specify Guam's future award amount.

Guam Regional Medical City says Patient Experience Partner Benita Jones earned certification as a Chuukese medical interpreter and that certified Chuukese interpretation is now available 24 hours a day, seven days a week at the hospital. GRMC is a hospital and is not Guam’s directory-listed HRSA Health Center Program awardee.

The source does not say Jones is a new hire, identify the certification issuer or credential number, describe shift, on-call or backup coverage, quantify interpreted encounters or language demand, or provide wait-time, comprehension, safety or patient-outcome measures.

The University of Guam reported that 35 students received Bachelor of Science in Nursing degrees at its May 24 commencement after a May 19 pinning ceremony. UOG describes the program as ACEN-accredited and says its curriculum combines classroom instruction, evidence-based practice, clinical rotations across Guam, preceptor mentorship, and virtual-reality and SimX simulation.

The source reports a 100% first-time NCLEX pass rate for the Spring 2023 cohort and at least 95% for each Spring cohort from 2020 through 2022 and from 2024 through 2025. Those historical rates are not results for the 2026 cohort: the new graduates still had to take the NCLEX to become registered nurses.

The source does not establish how many will test, pass, obtain Guam licenses, accept local jobs, work for community health centers or remain on island. Its nursing annex and capacity for cohorts of up to 60 were prospective and are not counted as realized capacity.

CMS's June 1, 2026 fact sheet states that the Medicaid community-engagement requirement applies in 43 states and the District of Columbia and that U.S. territories are not subject to it. Guam therefore does not need to implement this particular requirement.

The fact sheet does not establish that Guam is exempt from every other Medicaid provision or quantify any resulting change in coverage or health-center revenue.

The House Appropriations Committee's FY2027 Agriculture report lists $1.76 million for Guam Memorial Hospital Authority's Z-Wing Structural Stabilization and Emergency Access Restoration project under the Rural Community Facilities Program. The committee approved the measure on April 29, 2026.

This is a committee-stage appropriation, not proof that an enacted award has been obligated or paid.

A Government of Guam recovery release dated April 17, 2026, states that DPHSS extended Northern Region Community Health Center hours to Monday–Friday, 8 a.m.–9 p.m., and Southern Region Community Health Center hours to Monday–Friday, 8 a.m.–5 p.m., plus Saturday, 8 a.m.–5 p.m., until further notice. The release ties the schedule to ongoing Typhoon Sinlaku recovery; it does not quantify visits or claim a specific reduction in hospital demand.

On April 2, 2026, DPHSS announced four Saturday Back-to-School In-Reach Clinics at the Guam Community Health Centers: May 23 and July 18 at Northern Region Community Health Center in Dededo, and May 30 and July 25 at Southern Region Community Health Center in Inalåhan, from 10 a.m. to 3 p.m.; registration was to end at 2 p.m. or when supplies ran out.

The announcement offered childhood vaccinations, school physical exams and selected adult vaccinations. It said the centers serve people covered by Medicaid, MIP and private insurance as well as uninsured patients, bill insurance when applicable and offer a sliding-fee discount to qualifying patients.

These sites operate through DPHSS under the directory-listed Government of Guam- Department of Administration awardee. This is a published schedule, not confirmation that any clinic occurred or remained unchanged after the announcement, that every service or vaccine was available on every date, or that appointments, supplies or no-cost care were guaranteed.

It does not report attendance, staffing, incremental capacity, wait times or outcomes, and it does not extend FQHC status to other DPHSS outreach locations.

The directory-listed Government of Guam- Department of Administration awardee operates publicly through DPHSS as the Guam Community Health Centers. DPHSS says it added postdoctoral psychologist Dr. Christopher Otero, who is now seeing patients alongside licensed psychologist Dr. Mamie Balajadia, and that appointments with Dr. Otero are available at both the Northern and Southern community health centers.

The clinics serve people covered by Medicaid, MIP and private insurance as well as uninsured patients. The release confirms one added clinician and two named psychology clinicians, not two full-time-equivalent positions; it does not publish clinic schedules, appointment slots, caseload, compensation or funding, independent licensure for the postdoctoral role, encounter volume or outcomes.

Todu Guam Foundation Health & Wellness Center says licensed clinical psychologist Alan Butler joined MindCare and that patients may now schedule appointments with him. The nonprofit clinic says MindCare includes psychiatric care, psychotherapy, psychological assessments and collaborative treatment planning alongside primary care.

Todu Guam is not Guam’s directory-listed HRSA Health Center Program awardee; the source does not establish FQHC status, employment or contract status, a new full-time-equivalent position, schedule, appointment capacity, caseload, compensation or funding, or outcomes.

H.R. 7514, introduced February 11, 2026, would allow eligible rural health facilities to use USDA credit assistance for refinancing, information technology and equipment, and certain ancillary needs.

The bill remains introduced and referred to committee, so it has not yet changed financing authority or produced an award for a Guam facility.

H.R. 6494, introduced December 5, 2025, would eliminate the statutory limitations on federal Medicaid payments to Guam and the other U.S. territories beginning in FY2026.

Congress.gov shows the bill at the introduced stage, referred to the House Energy and Commerce and Ways and Means committees. The annual ceiling therefore remains current law unless this or another measure is enacted.

CMS approved Guam SPA GU-25-0002 on December 3, 2025, effective July 1, 2025. The amendment removes a named Average Wholesale Price source for prescription drugs and updates links to several fee schedules.

It is a reimbursement-reference change; the CMS summary does not claim a uniform rate increase.

The Guam Community Health Centers, operated through DPHSS by the directory-listed Government of Guam Department of Administration awardee, announced that board-certified OB/GYN Christopher Bieling had joined its women's-health services. DPHSS said appointments were available at both the Northern and Southern Region Community Health Centers, where Bieling would provide high-risk obstetric care and mentor CHC providers in colposcopy procedures.

The source confirms access to one named specialist at two sites, not two clinicians or two full-time-equivalent positions. It does not specify employment or contract status, schedule, appointment slots, panel size, referral criteria, number of providers mentored, mentoring hours, competency results, compensation, funding, visit volume, delivery services or patient outcomes.

HRSA's FY2025 Guam fact sheet lists $2,527,283 for one Health Center Program award to one unique awardee as of September 30, 2025. That amount is part of $6,672,016 in grants and cooperative agreements across all HRSA programs in Guam, covering four unique awardees and ten awards.

The broader total also includes maternal-and-child-health, Ryan White HIV/AIDS and rural-health program awards. These are agency award figures, not proof of drawdown, expenditure, staffing, patients, services, site-level allocation or outcomes.

SPA GU-24-0002, approved January 7, 2025 and effective December 1, 2024, records Guam's state-plan assurances for mandatory reporting of the Child Core Set and the behavioral-health measures in the Adult Core Set. The amendment establishes the reporting obligation; it does not itself report Guam's measure results or quantify a new community-health-center workload.

Todu Guam Foundation announced on August 7, 2024 that its Health & Wellness Center had been approved as a National Health Service Corps site. NHSC-approved sites can participate in federal loan-repayment and scholarship placement programs, giving the organization a clinician recruitment and retention channel.

The announcement does not establish that Todu Guam is a federally funded FQHC or verify the site's current NHSC status in 2026.