CA AB1549

Requires per-visit reimbursement rates for federally qualified health centers (FQHCs) and rural health clinics (RHCs) to account for reasonable costs including specific staffing and care delivery models used to provide covered services

Establishes that per-visit rates for newly qualified health centers must include the cost of care coordination services provided by trained care coordinators, case managers, and other designated staff

Defines "care coordination" to include coordination of covered services, transportation arrangement, patient education, referrals, compliance assistance, and communication facilitation among healthcare providers

Requires the department to seek federal approvals and issue published guidance identifying any federal guidance documents used to define allowable costs or describe scope-of-service change processes

Allows FQHCs and RHCs to appeal grievances concerning rate-setting, scope-of-service changes, and cost report audit settlements through established procedures under Section 14171