Audit

Provider Reimbursement

This area includes information on filing the quarterly credit balance report and UGS contacts regarding credit balances.

Maximum Payment Limits for Federally Qualified Health Centers (FQHCs)

Payment Limit ** Obtained from CMS Publication 27, Section 505.2 and corresponding updates.

Rural	Urban	Annual Adjustment	Period Covered
$62.25	$72.39	---	10/01/91 - 12/31/91
$63.99	$74.42	2.80%	01/01/92 - 12/31/92
$65.72	$76.43	2.70%	01/01/93 - 12/31/93
$69.65	$81.00	5.98%	01/01/94 - 12/31/94
$72.63	$84.47	4.28%	01/01/95 - 12/31/95
$75.60	$87.93	4.09%	01/01/96 - 12/31/96
$77.11	$89.69	2.00%	01/01/97 - 12/31/97
$78.81	$91.66	2.20%	01/01/98 - 12/31/98
$80.62	$93.77	2.30%	01/01/99 - 12/31/99
$82.55	$96.02	2.40%	01/01/00 - 12/31/00
$84.28	$98.03	2.10%	01/01/01 - 12/31/01
$86.47	$100.57	2.60%	01/01/02 - 12/31/02
$88.71	$103.18	2.60%	01/01/03 - 02/28/03
$89.06	$103.58	3.00%	03/01/03 - 12/31/03
$91.64	$106.58	2.90%	01/01/04 - 12/31/04
$94.48	$109.88	3.10%	01/01/05 - 12/31/05
$97.13	$112.96	2.80%	01/01/06 - 12/31/06
$99.17	$115.33	2.10%	01/01/07 - 12/31/07
$100.96	$117.41	1.81%	01/01/08 - 12/31/08