Billing

Federally Qualified Health Centers Contracting with Medicare Advantage Plans

Requirements to Receive Wrap-Around Payments from Medicare

  1. The FQHC must have a written contract with the Medicare Advantage (MA) plan that contain the terms specified by Title 42 of the CFR, Section 422.527.

    The contract must be signed by both the FQHC and the MA plan. A contract with an individual physician would not qualify for the supplemental payment. The person signing for the FQHC must be a representative of the FQHC.

    FQHCs must provide the MAC with a valid MA contractor number with each contract. If they cannot, they will not be set up for the supplemental payment. To obtain the MA contractor number the FQHC should contact the MA plan manager.
     
  2. The FQHC must provide the MAC with an average MA per-visit payment rate for each MA plan they are under contract with.

    If the MA rate is not contracted as a per-visit rate, FQHCs will need to convert fee schedules and/or capitation amounts to a per-visit. The MA rate must be accompanied by documentation of how the rate was calculated.
     
  3. A copy of the signed contract and the average MA per-visit payment rate should be sent to the following contact. This is for the WI workload and any main providers under the WI workload and you receive an inquiry from an FQHC satellite site.

    John Stoll, Manager, Provider Audit & Reimbursement
    National Government Services, Inc.
    6775 West Washington Street
    Milwaukee, WI 53203-2804

    Fax number: 414-459-2828
    Email: John.Stoll@wellpoint.com
     
  4. A copy of the signed contract and the average MA per-visit payment rate should be sent to the following contact for the Illinois workload (00131):

    Pam Chelf, CPA, Manager, Medicare Audit and Reimbursement
    8115 Knue Road
    Mailpoint INA101-AF41
    P.O. Box 7191
    Indianapolis, IN 46250-7191

    Fax number: 317-841-4436 
     
  5. A copy of the signed contract and the average MA per-visit payment rate should be sent to the following contact for the JK workload:

    Sandra J. O'Connor- JK Workload, Manager, Audit & Reimbursement
    National Government Services, Inc.
    P.O. Box 4900
    Syracuse, NY 13221-4900

    Phone: 315-442-4986
    Fax number: 315-442-4551
    Email: Sandra.O'connor@wellpoint.com