family caregiver

Spouses, children, in-laws and other relatives and friends who volunteer to help with personal care, medication management and a range of household and financial matters. Sometimes referred to as “informal caregiver.”

Federally Qualified Health Center (FQHC)

A facility that has been approved by the government for a program to provide low-cost health care. FQHCs include community health centers, tribal health clinics, migrant health centers, rural health centers and health centers for the homeless.

fee schedule

A complete listing of fees used by health plans to pay doctors or other providers.

fee-for-service (FFS)

A method of paying health care providers a fee for each medical service rendered, rather than paying them salaries or capitated payments.

Financial Alignment Demonstration

A three year, multi-state demonstration that began in January 2013 and tests new service delivery and payment models for people dually eligible for Medicare and Medicaid. These demonstrations enroll full dual eligibles in managed fee-for-service or capitated managed care plans that seek to integrate benefits and align financial incentives between the two programs.

fiscal year (FY)

The 12-month period used for calculating annual fiscal spending. The U.S. government fiscal year runs from October 1 of the previous year to September 30 of the calendar year for which the fiscal year is numbered. States’ fiscal years do not always correspond to the federal fiscal year.

formulary

A list of selected pharmaceuticals and their appropriate dosages created by health insurance plans and state Medicaid programs, and are usually intended to include a broad array of prescription drugs that are also cost-effective for patient care. Physicians are often required or urged to prescribe from the formulary developed by the insurance plans, pharmacy benefit managers or health maintenance organizations with which they are affiliated.