Federally qualified community health centers (CHCs) are an essential component of the health care safety net, providing millions of low-income Americans with many medical home services associated with high-quality primary care. Despite their importance as providers of care to the poor and uninsured, CHCs are funded through a piecemeal approach, raising questions as to whether payment and financing policies limit their ability to become high-performing medical homes. This project will: 1) identify state payment policies that provide health centers with incentives to serve as medical homes for their patients, as well as those policies that hinder high performance; and 2) develop options for modifying payment policy so that health center financing is aligned with the goal of high performance. This work will be informed by a survey of state associations representing health centers, interviews with leaders from CHC-affiliated health plans, and interviews with states that have innovative payment policies. George Washington University will provide in-kind support.