Overview

Community Health Centers (CHCs) care for more than 1 in 5 Medicaid beneficiaries nationally, and half of health center patients are Medicaid beneficiaries. CHCs provide care to patients, regardless of their ability to pay or insurance coverage, while also delivering significant value to the U.S. health care system. In 2024 alone, CHCs saved Medicaid $58 billion by providing affordable, comprehensive, and multidisciplinary primary care. On average, CHCs save 24% of health care costs per Medicaid beneficiary when compared to other providers.

From 2023 to 2024, 23% of CHC patients covered by Medicaid were estimated to have been unenrolled. Outreach and enrollment work are fundamental to the CHC mission.

Resources Spotlight

Quick Guide: Medicaid Work Requirements

This guide is intended to help health center staff, leadership, and boards, to understand the main considerations regarding Medicaid community engagement (work, education, and volunteer) requirements.

H.R.1 Work and Community Engagement Requirements Implementation Timeline

This document presents a monthly timeline for implementing Medicaid work requirements. It outlines when beneficiaries will be contacted for renewals and the timeframe to verify eligibility for qualification.

Medicaid Eligibility in Transition: What Health Centers Need to Know (Webinar)

NACHC along with partners from the National Association of Medicaid Directors presented an H.R. 1 briefing on the major Medicaid enrollment and eligibility changes impacting CHCs.