About this Dataset

Federally Qualified Health Center Wrap Payment And Managed Care Encounter

This table contains an analysis of wrap claims and encounters reported to DHCS. The match percentage is based on the count of wraps received matching to their encounter. A Wrap Payment is a supplemental payment to Federally Qualified Health Centers (FQHC), covering the difference between their per-visit PPS (Per-Visit Payment System) rate and the amount received from managed care plans for services to Medi-Cal managed care members.
Organization: State of California
Last updated: 2025-07-23T20:49:33.819662
Tags: california-department-of-health-care-services, community-clinic, dhcs, federally-qualified-health-center, fqhc, free-clinic, indian-health-services, managed-care-encounter, rural-health-clinics, tribal-fqhc-providers, wrap-payment

Tables

FQHC Wrap Payment And Managed Care Encounter Data

@usgov.ca_gov_federally_qualified_health_center_wrap_payment__1bfdc3d8.fqhc_wrap_payment_and_managed_care_encounter_data

108.02 kB
3,354 rows
9 columns

CREATE TABLE fqhc_wrap_payment_and_managed_care_encounter_data (
  "fqhc_name" VARCHAR,
  "fqhc_npi" VARCHAR,
  "calendar_year" VARCHAR,
  "wrap_payment" VARCHAR,
  "wrap_encounters" VARCHAR,
  "matches" VARCHAR,
  "match_percentage" VARCHAR,
  "annotation" DOUBLE,
  "annotation_desc" VARCHAR
);

Data Dictionary - FQHC Wrap Payment And Managed Care Encounter Data

@usgov.ca_gov_federally_qualified_health_center_wrap_payment__1bfdc3d8.n__dictionary_fqhc_wrap_payment_and_managed_care_encounter

4.69 kB
9 rows
4 columns

CREATE TABLE n__dictionary_fqhc_wrap_payment_and_managed_care_encounter (
  "column" VARCHAR,
  "type" VARCHAR,
  "label" VARCHAR,
  "description" VARCHAR
);