14087.326.
(a) A federally qualified health center or rural health clinic may enter into an agreement with a public or private entity willing and qualified to provide services that follow the patient, as described in this section. A public or private entity eligible to contract with a federally qualified health center or rural health clinic pursuant to an agreement described in this section shall include, but not be limited to, any of the following:(1) A managed care health plan.
(2) A county.
(3) A health care district.
(4) A community-based organization.
(5) An individual health care or social services provider whose activities under this section comply with the individual’s scope of practice or certification.
(b) As used in this section, “services that follow the patient” means services that are not reimbursable pursuant to Section 14132.100, that promote continuity of care and contribute to overall patient wellness. These services include, but are not limited to, all of the following:
(1) Comprehensive care management.
(2) Care coordination.
(3) Health and wellness initiatives.
(4) Comprehensive transitional care.
(5) Individual and family support services.
(6) Referral to community and social supports.
(c) Compensation paid to a federally qualified health center or rural health clinic pursuant to an agreement described in this section shall be supplemental to, and separate from, the federally qualified health center’s or rural health clinic’s prospective payment rate and shall not be subject to a reconciliation pursuant to Section 14087.325, or to any reduction.
(d) A federally qualified health center or rural health clinic that bills an entity in subdivision (a) for services that follow the patient may not seek reimbursement or attempt to obtain payment from the department or an entity for a service billed pursuant to Section 14132.100.
(e) This section does not preclude a clinic from billing a visit under Section 14132.100 and a service under this section on the same day.