The purpose of this Transmittal is to provide an update on the District of Columbia (DC) FQHC Pay-for-Performance (P4P) Program as outlined in the "Medicaid Reimbursement of Federally Qualified Health Centers (FQHC) Notice of Final Rulemaking," published on February 2, 2018, in the DC Register. The new program includes an additional payment based on performance of each FQHC.