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Policy Analysis

CE Credit Available

PTuC2 - Medicaid PPS - Initiatives, Disputes, Decisions - Where do Health Centers Stand in 2026?

Tuesday, February 10, 2026
1:30 PM - 2:30 PM ET
Location: Baltimore 3-5 (Ballroom Level)
Knowledge Level: Basic
Prerequisite: N/A
CPE: 1.2
CME: 1
CEU: 1
ACHE: 1
Session Description: Many Health Centers are facing increasing financial pressures and the primary revenue source for FQHCs -- Medicaid -- is one of the few sources to which FQHCs have a statutory right to payment. This session will review Medicaid payment rights, recent decisions of the Supreme Court and Courts of Appeal, current litigation and other efforts to improve payment methodologies. We will review common issues leading to underpayment and proactive steps that have proven to be successful in resolving those issues as well as those that have not. Proper payment is today more important than ever with level grant funding, Medicaid enrollment cuts around the corner and other fiscal pressures facing our community, come to this session to share war stories and learn new strategies.

Learning Objectives:

  • Understand the legal underpinnings and rationale for the Medicaid PPS payment provisions
  • Understand the impact of recent federal court decisions and current issues being litigated
  • detail action steps that might be helpful to use in their State.