FQHC’s/Health Clinics

An essential component of the healthcare safety net, federally qualified health centers (FQHC’s) are community-based organizations that provide primary care and preventive care, including health, oral, and mental health/substance abuse services, without regard to ability to pay or health insurance status. Nelson Hardiman represents FQHC’s and FQHC look-alike’s, which do not receive grant funding under Section 330 of the Public Health Services Act, but operate and provide services under the same FQHC community health center structure.  Nelson Hardiman counsels and assists FQHC’s with a range of business, regulatory, and strategic challenges, including:

  • Business Transactions
    • Formation of FQHC’s, including community governance structure and Health Resources and Services Administration (HRSA) requirements
    • Preparation of FQHC Contracts
    • Coordination of FQHC Governance and Operations
    • Negotiation of FQHC Business Relationships
  • Regulatory Defense
    • Medicare and Medi-Cal post-payment audit recovery defense
    • California Department of Public Health (CDPH) investigations and licensing audits
  • Compliance
    • Governance compliance, including board of director requirements and Health Resources and Services Administration (HRSA) requirements
    • Licensing and operational compliance with California Department of Public Health (CDPH) requirements
    • Anti-Kickback statute compliance
    • HIPAA and state patient data privacy and security requirements
  • Litigation
    • Defense of False Claims Act (FCA) litigation
    • Reimbursement disputes
    • Business litigation, including board-of-director disputes
    • Fraud and Abuse Defense