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Resilience
BSites
38
Staff
1,050+
Patients
200,000+
Low Risk
(71/100)Clinica Sierra Vista provides accessible, quality healthcare with compassion and respect to all.
Overall Score: 71/100
Data completeness: 70%
5 active programs (excellent diversity)
No recent layoffs tracked
Modern EHR: OCHIN Epic
No Glassdoor data available
High funding vulnerability
Regional Comparison: Clinica Sierra Vista scores 71 vs the Central Valley average of 63.
Dental Coverage Eliminated for Undocumented Adults
2026-07-01
PPS Rates Eliminated for FQHCs Serving Undocumented Patients
2026-07-01
Work/Community Engagement Requirements Begin
2026-10-01
ECM Provider
NHSC Approved
EHR System
OCHIN Epic
Union Status
Unknown
Active Openings
17
Glassdoor
--
Profile Source
CuratedFQHC Prospective Payment System rates — averaging $200-400/visit — will be replaced by lower Medi-Cal Fee Schedule rates for services to undocumented individuals. This represents a 50-70% per-encounter revenue cut for these patients. FQHCs with large undocumented populations face severe revenue shortfalls.
Dental benefits for undocumented Medi-Cal enrollees will be eliminated, saving $308M in 2026-27 and $336M annually thereafter. FQHCs with dental programs serving undocumented patients will lose dental encounter revenue for these patients entirely.
California Sen. Maria Elena Durazo (D-Los Angeles) introduced SB 1422 to restore full Medi-Cal eligibility for all income-qualifying adults regardless of immigration status — reversing the January 2026 enrollment freeze that blocked new undocumented applicants. Nearly 1.7M undocumented immigrants are currently enrolled in Medi-Cal. The freeze eliminated PPS payments to FQHCs for UIS patients, forcing health centers to absorb care costs or turn patients away.
Starting July 1, 2026, California's budget eliminates use of the Prospective Payment System for FQHC services to state-only-funded individuals with unsatisfactory immigration status (UIS). FQHCs will instead be paid at the regular Medi-Cal fee-for-service rate or negotiated managed care plan rates — roughly 50–70% less per encounter than the PPS rate ($200–400/visit). The CA LAO scores this as $1 billion in annual General Fund savings, meaning $1 billion in annual FQHC revenue loss beginning 2026–27. FQHCs with large undocumented patient panels — concentrated in LA, San Diego, and Central Valley — face the most severe financial exposure. Dental benefits for undocumented Medi-Cal enrollees also eliminated: $308M savings in 2026–27.
Beginning July 1, 2027, Medi-Cal members ages 19–59 who are undocumented or have unsatisfactory immigration status (UIS) and remain in full-coverage Medi-Cal will be required to pay a $30 monthly premium to maintain coverage. Dental benefits for UIS members were already eliminated effective July 1, 2026. Combined with the January 2026 enrollment freeze and eliminated FQHC PPS reimbursement for UIS services, this represents a compounding disinvestment in California's 1.6 million undocumented Medi-Cal enrollees — raising coverage loss and FQHC revenue risk.
Central Valley's largest FQHC rescued a failing health center network through strategic merger, then achieved HRSA Quality Leader recognition while operating a teaching health center residency — proving that scale and quality can coexist.
Clinica Sierra Vista operates in California's Central Valley region.
Regional FQHCs
16
Avg Resilience
63
Total Staff
6,034
Regional Jobs
150
This report is auto-generated from our intelligence data assets. For inquiries, contact hello@fqhctalent.com