Medicaid Fee-For-Service FQHC & RHC PPS Rates Effective January 15, 2026 through December 31, 2026
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Announces Medicaid Fee-For-Service Prospective Payment System (PPS) per-visit rates for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) for service dates on or after January 15, 2026 through December 31, 2026; affects Medicaid FFS providers and QUEST Integration (QI) health plans in Hawaii.
Per-visit PPS rates for specified new participating FQHC/RHC providers effective January 15, 2026 through December 31, 2026 were published.
PPS Per-Visit Coverage
FQHC & RHC PPS rate entries
Per-visit PPS rates apply to Medicaid FFS services for the listed FQHC/RHC providers during the stated service date ranges.
Rate Details and Service Period
| 012930 | Waianae Elementary — Effective 01/15/2026-12/31/2026 — Per Visit Rate $411.67 |
| 012932 | Nanakuli High & Intermediate School — Effective 01/16/2026-12/31/2026 — Per Visit Rate $411.67 |
Notification and Contact
Rate notification (not authorization) and contact
This memorandum is a notification (not an authorization) that publishes the Medicaid FFS FQHC & RHC PPS per-visit rates and their effective service dates for the listed providers. For questions about these rates or the memo, contact Ms. Maria Lui, Accountant, at (808) 900-6728 or mlui@dhs.hawaii.gov.
- This is a notification only — not an authorization policy.
- Rates are effective for service dates starting on or after January 15, 2026 through December 31, 2026.
- Contact for questions: Ms. Maria Lui, Accountant — (808) 900-6728; mlui@dhs.hawaii.gov.
Provider Listing Format
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