(Recorded Webinar Series) Medicare Care Management in the FQHC: New Opportunities in 2024

Duration: 60 minutes each
Recorded on: 01/31/2024 & 02/01/2024

In this two-part webinar series, we will examine the various types of care management services that FQHCs are eligible to provide under the Medicare program, with special emphasis on newer opportunities for FQHCs and care management services that have been introduced for Medicare beneficiaries in recent years. We will discuss how robust uptake of care management services can be an important part of an overall Medicare strategy for health centers.

The following webinars are included in this series:

Session 1: Medicare Care Management Primer

In this webinar, we will examine the unique role and benefits of Medicare care management services for FQHCs, as a complement to the visit-based care that FQHCs provide to Medicare beneficiaries. We will cover how care management services are paid for under Medicare, including billing rates, claims mechanics, and coinsurance. We will also address factors FQHCs should consider in setting charges in their fee schedule for care management. In this session, we will address the required program components for four types of monthly care management services: chronic care management, behavioral health integration, the psychiatric collaborative care model, and principal care management.

Session 2: New Developments in Medicare Care Management

During this session, we will focus on expansions in care management opportunities for FQHCs in recent years, including new programs that are being implemented effective January 1, 2024. We will cover first, the chronic pain management service, unveiled by Medicare in CY2023, addressing how health centers can use this service to promote alternatives to medication for patients suffering from chronic pain. Next we will address two new care management-oriented services, community health integration and principal illness navigation, which allow health centers to draw on community health workers as part of their clinical workforce serving Medicare beneficiaries. Finally, we will describe the program requirements for new remote monitoring services implemented in CY2024, remote physiological monitoring and remote therapeutic monitoring. For FQHCs, these services will be paid for in the same manner as monthly care management services.

Target Audience

  • C-Suite
  • Billing Managers
  • Behavioral Health Managers
  • Clinical Practice Managers
  • Revenue Cycle Managers

Learning Objectives

After this webinar, you will be able to:

  • Understand the mechanics of Medicare care management for health centers
  • Identify the areas of expanded Medicare care management in 2024
  • Explain the components of the four types of monthly care management services
  • Explore how your health center may expand the use of community health workers
  • Describe the program requirements for new remote monitoring services
Course summary
Available credit: 
  • 2.00 Certificate of Attendance
Course opens: 
Course expires: 

Susannah Vance Gopalan

Susannah Vance Gopalan is a Partner in the firm’s Health Care practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. She brings regulatory experience to bear when advising clients and pursuing litigation on their behalf. She has a record of negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]

Certificates of Attendance: We verify attendance upon completion of a webinar (live or recorded version) and will only issue certificates in the name of the account holder enrolled in the course. If you need to document attendance for someone other than the account holder, we provide blank Certificates of Attendance for a supervisor to sign and certify that a different individual viewed the course. 

Group Attendance: Due to the online nature of webinars, we cannot verify participation by more than one person. For groups, we provide an attendance record form and blank Certificates of Attendance to record attendance at a group viewing session and document each individual's participation. We recommend that a supervisor or colleague sign the certificate to certify attendance. 

Read more about maintaining an attendance record in our FAQs.

Available Credit

  • 2.00 Certificate of Attendance


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