Federal Medicaid regulations allow State Medicaid
Agencies to pay Federally Qualified Health Centers (FQHC) and Rural Health
Clinics (RHC) providing services under a contract with a Medicaid Managed
Care Entity (MCE) supplemental payments for furnishing such services. These
payments are a calculation of the difference between the payments the FQHC/RHC
receives from the MCE(s) for all qualified Medicaid visits and the payments the
FQHC/RHC would have received for fee-for-service (FFS) Medicaid recipients
receiving the same services. This concept is referred to as the WRAP
Supplemental Payment Program. The formula for calculating and distributing
these payments is authorized pursuant to the Medicaid State Plan Attachment
4.19 B, Pages 1 – 4.