Northern Mariana Islands FQHC Intelligence

Observed August 16, Isla Community Health's current provider page names nine clinicians: physicians Anthony Stearns, MD; Tiffany Willis, MD; Nicole Joyner-Powell, DO; and Daniel Lamar, MD; physician assistant Alexander Johanson, PA; nurse practitioners Jihyun Kim, NP; Roca Sablan, NP; and Aurelia Long, NP; and licensed professional counselor Maira Arriola, LPC.

The page labels Stearns interim chief medical officer. This is an undated operator roster, and the observation date is not a start date. The page does not assign every clinician to a clinic or disclose schedules, FTE, employment or contract status, current credentialing, whether the roster is exhaustive, net staffing, vacancies, panels, appointments, capacity, retention or outcomes.

Observed August 16, Isla's live homepage lists August hours: Kagman Monday–Friday 9 a.m.–3 p.m.; Southern Monday–Thursday 8 a.m.–4 p.m. and Friday–Saturday 8 a.m.–noon; and Tinian Monday, Wednesday and Friday 9 a.m.–4 p.m., closed Tuesday, Thursday and weekends. The same page still carries a July 6–8 Super Typhoon Bavi closure announcement and says reopening would follow an all-clear and damage assessment.

Because that closure window has passed and the notice is not reconciled with the August schedule, this is a posted-schedule snapshot with an unreconciled past notice—not proof of real-time opening, service availability, provider coverage, appointments, encounters, damage, waits, spending or outcomes; patients should confirm before travel.

CHCC's official job page, observed August 16, lists three clinical examination announcements opened August 11–14: Clinical Laboratory Scientist EA26-097 in Saipan (closes September 1); Utilization Review Nurse EA26-101 in Saipan (closes September 4); and Registered Nurse EA26-102 in Saipan (closes September 4). The page separately carries multiple open/continuous clinical announcements, including physician and physician-assistant/nurse-practitioner recruitment across Saipan, Tinian and Rota.

This is an advertised-recruitment snapshot. Three announcement rows do not establish three vacancies or one position per row, and the source does not prove new roles, applications, hires, retention, added FTE, staffing deficits, service capacity, access or outcomes; status can change.

Commonwealth Healthcare Corporation Public Health Services’ July 7, 2026 Bavi update says the Lucia Chiang Villagomez Arizapa Health Center resumed from 8 a.m. to 5:30 p.m. with its emergency room open 24/7; outpatient pharmacies on Saipan and Tinian opened that day; CHCC Family Care Clinic, hemodialysis, Children’s Clinic and Women’s Clinic resumed at 1 p.m.; and laboratory, physical therapy and radiology resumed.

It separately says the Rota Health Center emergency-room phone line was restored. This is a dated recovery status, not a standing schedule or evidence that every service was fully restored; a restored Rota phone line does not establish a clinic reopening.

CHCC and its public outer-island facilities are separate from Kagman Community Health Center, Inc./Isla Community Health and its Section 330 sites. The notice reports no visits, staffing, capacity, measured waits, cost, utilization or outcomes.

Isla Community Health’s live homepage displays a “Business Hours (Post Sinlaku)” section for its Kagman, Southern Saipan and Tinian clinics. The same page carries a Super Typhoon Bavi announcement saying the clinics would close July 6–8 and that Isla would communicate a reopening plan after an all-clear and facility damage assessments, then contact affected patients to reschedule appointments.

Reviewed July 16, the page did not establish whether reopening had occurred, and some displayed hours were labeled for a specific earlier week. This is dated operator continuity information, not proof of current opening, ordinary service availability, staffing, appointment capacity, damage, encounter volume, wait times, spending or outcomes; patients should confirm status before travel.

CMS's June 2026 interim final rule implements section 1902(xx) for the 50 states and the District of Columbia and states expressly that the provisions do not apply to U.S. territories. CNMI therefore does not have to implement the new 80-hour community-engagement eligibility test.

This is a bounded eligibility finding, not proof of a specific enrollment or revenue effect. CNMI's separate Medicaid financing constraint remains the section 1108 federal cap described by CMS.

CHCC’s dated May 18 emergency update lists schedules for Family Care, Children’s, Women’s, specialty, dialysis and oncology services; says dialysis returned to regular shift hours; and lists multiple public-health programs as open. It says Community Guidance Center behavioral-health services are open but direct client services remain limited until disaster-related office repairs are complete.

The update also gave May 20 and May 23 end dates for the temporary tent clinic and house-to-house outreach and expedited inspections. This is CHCC’s dated operating-status report, not evidence of current staffing, appointment capacity, encounter volume, wait times, repair completion, spending or outcomes; patients should confirm current hours.

GAO recommended that Interior, working with Labor, Homeland Security, CNMI, and other appropriate agencies, identify and analyze options for responding to risks associated with the end of CW-1. GAO lists the recommendation as open and says the extent of potential effects is unknown.

This record tracks the unresolved federal planning action; it should not be converted into an estimate of healthcare departures. CNMI health organizations can inventory visa-dependent roles and training pipelines while monitoring the recommendation's status.

The Commonwealth Medicaid Agency provider directory, last updated March 31, 2026, lists Kagman Community Health Center, Inc. doing business as Kagman Isla Community Health as an enrolled FQHC primary-care clinic accepting new Medicaid patients. The entry also reports telehealth, interpreter services in Chamorro, Carolinian, Tagalog, and Mandarin, and specified accessibility accommodations.

This is explicit official FQHC identification rather than inferred territorial equivalence. Directory status can change and does not guarantee an immediate appointment, service capacity, operating hours, or utilization outcomes.

Delegate Kimberlyn King-Hinds introduced H.R. 6690 on December 12, 2025. Congress.gov says the bill would require CNMI's Medicaid funding cap for FY2026 to equal American Samoa's and shows its status as introduced and referred to the House Committee on Energy and Commerce.

The official bill record does not establish enactment or a disbursed dollar increase. Finance teams should treat the proposal as a legislative scenario, not bankable Medicaid revenue.

Commonwealth Healthcare Corporation’s CNMI Maternal and Child Health FY2024 annual report/FY2026 application, created September 24, 2025, reports 6.59 Title V-funded FTEs including current vacancies. Form 7 identifies 0.67 vacant FTE—0.50 for a Community Health Outreach Worker I and 0.17 for a family-planning clinical coordinator—plus 0.25 FTE eliminated for a health-promotions intern and 0.30 FTE onboarded for a MICAH administrative specialist during the prior 12 months.

These are fractional Title V position allocations, not employee headcount or the total CHCC, hospital, outer-island or FQHC workforce. Reported shortages in Tinian and Rota and plans to recruit community health workers or expand training are needs and proposed actions, not filled positions or delivered capacity.

The filing reports no resulting visit volume, wait time, access gain or patient outcome.

CMS approved SPA MP-25-0001 on August 18, 2025, effective January 1, 2025. Under section 1902(j), the amendment waives CNMI from the federal requirement in section 1902(a)(84)(D) to provide specified pre-release and post-release Medicaid services for eligible juveniles in public institutions after adjudication.

The approval defines a coverage exception; it does not describe local reentry arrangements or prove that all continuity services are absent.

A MEDITECH announcement dated April 17, 2025 says CHCC selected Expanse to create one patient record across CHCC facilities and care teams, including its Tinian and Rota health centers, with mobile access for clinicians. The announcement describes a planned implementation and vendor- and CHCC-stated goals; it is not evidence that the system was already live or had achieved measured outcomes.

Kagman/Isla Community Health is a separately governed organization and the release does not say it is included.

The CNMI Office of the Governor reports that Commonwealth Healthcare Corporation held the ribbon-cutting for its new FCC Specialty Clinics on February 13, 2025. The clinics initially offered cardiology and occupational therapy, establishing realized specialty-care access in the Commonwealth.

This is a CHCC facility, not a Kagman/Isla health-center expansion. The source does not report staffing, encounter volume, referral reductions, outcomes, or the activation of additional specialties.

CMS approved MP-24-0003 on October 24, 2024, effective July 1. For equipment rental, on-island payment is the lower of billed charges or the Medicare DME Jurisdiction D schedule, while off-island payment is the lower of billed charges or the Medicare schedule for the jurisdiction where the item was acquired.

Purchases are generally paid at the lower of billed charges or item cost plus 75%; the approved page also lists negotiated alternatives bounded by customary-charge, retail-price, cost-plus or Medicare benchmarks. This establishes reimbursement methods and describes a rate increase, but it does not state an across-the-board percentage or observed dollar gain and does not prove supplier participation, equipment availability, spending, utilization, access or outcomes.