01Reimbursement RatesWatching
UIS PPS Rate Elimination — Implementation Guidance
Locked in for July 1. The May Revise determines how — softer transition, sliding fee uplift, or hard cliff.
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The Newsom Administration released the FY 2026-27 May Revision. Here's what each of the 8 FQHC-critical items actually became.
Revision released · Last updated: May 4, 2026
Released
Status
8
Items
24
Pathways
2026-27
Fiscal Year
Locked in for July 1. The May Revise determines how — softer transition, sliding fee uplift, or hard cliff.
The MCO Tax funds Medi-Cal rate increases that flow to FQHCs. Without reauthorization, rates that took effect in 2024-25 could be clawed back.
FQHC pipeline funding has been frozen since November 2023. Whether HCAI gets restored is the workforce question of the year.
If your FQHC was planning to apply for BH facility capital in 2026-27, this is the line item that determines whether the bucket exists.
$6.4B/year flows to counties under BHSA. The formula determines whether your FQHC's county subcontracts grow or shrink.
ECM is the largest new FQHC revenue stream of the past 3 years. The rate methodology and waiver renewal posture set its trajectory.
January Budget locked in a $30/mo Medi-Cal premium for undocumented adults starting July 2027. Implementation guidance starts now.
Counties cut family planning and reproductive health services in early 2026. Whether the state backfills affects FQHC referral patterns and patient access.
Each item draws from primary sources: Department of Finance, LAO, DHCS, HCAI, and guidance from CHCF, CPCA, and NACHC. After May 14, outcomes will be updated within 48 hours of the Revision release.
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