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Primary Care Office - Primary Care Clinic

 

State Funded, Community-Based Primary Care Clinic Program


State Funded Community Based Clinics  (view map and list)

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Federally Funded Community Health Centers, Federally Qualified Health Center (FQHC)

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New annual primary care clinic reporting requirements

Nearly all Primary Care Clinics and Community Health Centers operating in the state are members of the Kansas Association for the Medically Underserved (KAMU), the state's primary care clinic organization. Members are safety net providers whose primary mission is to assure access to comprehensive health care for underserved populations. These are State funded primary care clinics, Federally Qualified Health Centers (FQHCs), local health departments and other non profit clinics established and supported in part by public funds, faith based organizations, individual volunteers, private foundations or local donations. To view the KAMU member clinic directory on the KAMU website:

     KAMU clinic directory

Program Purpose:

State General Funds are provided to support primary care projects administered by local units of government or other eligible agencies to make primary and preventive health care services available, accessible, and affordable to medically under served Kansas residents including persons eligible for HealthWave, Medicaid or other medical assistance programs operated by the Kansas Health Policy Authority.

Overview:

For the past few years, primary care clinic grant application instructions from the Kansas Department of Health and Environment (KDHE) have offered a broad statement regarding the manner in which projects would be considered for funding.



Decisions were based upon project objectives, demonstrated need and the availability of funding. For many years no new money has been added to improve access to primary care and these general instructions appeared sufficient. Level funding and an established policy of sustaining support for existing grantees resulted in no new application instructions added and new awards being granted.

In 2006, one million dollars ($1,000,000) was added to the KDHE budget for primary care clinics and prescription drug assistance program funding ($750,000) was reauthorized for a second year, for a total of $3,270,840 to local clinics and health centers.

In the 2007 funding cycle, more than thirty potentially eligible non-profit and volunteer clinics and health centers are in operation or under development across the state. The application deadline was postponed twice to accommodate interest from new clinics. KDHE received twenty-five grant applications seeking $5,106,942 in state general funds. As a result, state grants to clinics became competitive. Eleven new applicants submitted proposals to be considered along with renewal applications from the fifteen existing grantees.

A Review Committee was appointed and considered a number of factors in evaluating and comparing grant applications, including:

Needs of Community/Target Population
Clinic or Health Center’s Proposed Response to Fulfill Needs

  • Expanded clinical staff, new sited, extended hours

  • Additional clinical services including dental expansions

Clinic or Health Center Utilization and Productivity Trends
Clinic or Health Center Patient Characteristics
Geographic Distribution

Twenty-four of the twenty-five applicants were considered eligible and were awarded primary care clinic funding for their proposals. Twenty-one of these applicants also requested and received grants to operate prescription drug assistance programs (PDAP).

Applicants for primary health care project grants are required to provide local support which meets the local match requirement of one dollar for each one dollar of funding awarded through this program. Each program varies greatly in terms of mission, service area, range of services, client eligibility, and local project goals and objectives. Clinics frequently have project partners who contribute non-cash donations of space or health professionals and others who volunteer time.

KDHE Community-Based Primary Care Clinic Grant Program Grant Awards State Fiscal Year 2008
 

State Role:

The KDHE role is to:

  • help local leaders to assess community health risks and locate gaps in service using a community planning and development process
  • administer the state's activities related to the designation of health professional shortage areas for recruitment of health care providers to underserved areas
  • provide information, training, and limited financial assistance to communities implementing health care access programs for comprehensive primary health care
  • administer the state's Charitable Health Provider Program to enable physicians and other licensed professionals to donate services
  • administer the state's J-1 visa waiver program for placement of foreign physicians in medically underserved areas

Who Benefits?

The program serves medically underserved and low-income Kansans. An estimated 250,000 to 375,000 Kansans (10% to 13.7% of the population) are believed to lack a regular source of basic health care and may be identified by a range of characteristics:

  • members of low-income, "working poor" families
  • uninsured or under-insured persons who lack the means to pay for care themselves
  • persons eligible for HealthWave, Medicaid or other medical assistance programs operated by the Division of Health Policy and Finance who are unable to find a participating provider
  • residents of remote rural counties with too few health professionals
  • minority populations with financial, cultural and language barriers
    90% of current clinic users have incomes at or below 150% of the federal poverty level (FPL)
  • 73% had incomes at or below 100% FPL

State Fiscal Year Annual Report: New Statistical Reporting Mechanism

The internet-based data reporting system is designed to meet the reporting expectations placed on clinics and their partners, the Kansas Department of Health and Environment (KDHE) Primary Care Office and the Kansas Association for the Medically Underserved (KAMU). The new system is on the web at:  http://www.datacounts.net/kamu/

The reporting system and Users Reporting Manual have been adopted by the Primary Care Office within the Kansas Department of Health and Environment for use by Primary Care Clinics and Health Centers funded through the Community Based Primary Care Clinic Program.

Click here to log on and begin reporting through the new Statistical Reporting System

Reports from state-funded clinics are due annually by August 15.

The data requested will better facilitate aggregate data comparisons. The due date will facilitate collection and assembly of calendar year data or, if necessary, the most recent 12 month program period (e.g. local or state fiscal year).
Click here to view/print the Reporting Manual

Payments to grantees in the Community Based Primary Care Clinic Program will be made in accordance with the contract agreements following the receipt of the Quarterly Financial Form (Affidavit of Expenditures) except that the payment of 12.5% to be made on or about November 15 may not be made unless the annual data is submitted by the August 15, 2006 deadline established for the annual web-based reporting system.
Click here to view/print the Quarterly Financial Form (Affidavit of Expenditures)

Program Contact Person:
Click here to contact the OLRH staff member responsible for this program.