Rural Health Center

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Content Section

Spotlights

Transition of Inpatient Hospital Review Workload – New Fact Sheet and Power Point Slides available. (posted July 14, 2008)
CMS-1910-P2 - Changes in Conditions of Participation Requirements and Payment Provisions for Rural Health Clinics and Federally Qualified Health Centers; Proposed Rule {Published June 27, 2008; Comments due by 5 p.m. on August 26, 2008}; View Press Release and Fact Sheet.

Medicare Learning Network (MLN) Spotlights
Go to the What's New page for the latest MLN products and announcements! Check it often!

Important Links

Billing / Payment

Enrollment/ Certification

Medicare Provider/Supplier Enrollment

Enrollment Applications
Form CMS-1561A: Health Insurance Benefit Agreement - Rural Health Clinic
Form CMS 29: Request to Establish Eligibility to Participate in HI for Aged/Disabled to Provide Rural Health Clinic Services
Conditions for Coverage (CfCs) and Conditions of Participation (CoPs) and - Overview
CfC and CoP: Rural Health Clinic/Federally Qualified Health Centers
Survey and Certification
Survey and Certification Letter: Privacy Of Medical Record Information in Rural Health Clinics

Policies/Regulations

Medicare Prescription Drug Coverage

Information for Providers

National Provider Identifier (NPI)

Information for Medicare Fee-for-Service Providers about the NPI

Medicare Secondary Payer

Educational Resources

Helpful Links

CMS Manuals & Transmittals

CMS Manuals
CMS Internet-Only Manuals
Transmittals
Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/ Federally Qualified Health Centers
Medicare Benefit Policy Internet Only Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
State Medicaid Manual Paper-Based Manual
The Medicare Rural Health Clinic and Federally Qualified Health Center Manual Paper-Based Manual
Reimbursement Manual (ZIP, 56Kb)
Medicare Secondary Payer Manual
Medicare National Coverage Determinations Manual
To receive changes to the CMS Quarterly Provider Update, subscribe to the CMS-QPU Listserv from the CMS Mailing Lists Page

Coding

Coverage

Medical Review/ Fraud & Abuse

Resources

Medicare Fee-for-Service Part B Drugs

Contacts

CMS Regional Office Rural Health Coordinators
Medicare Certified Rural Health Clinics (as of 08/11/2008) - This report is sorted by region, by state, and then by provider
Contact Your MAC/Carrier/FI via Toll-Free Numbers and Websites -- A listing of the toll-free numbers that CMS has installed at Medicare FFS contractor sites.
Quality Improvement Organizations (QIO)
Contacting the Coordination of Benefits Contractors (COBC)

How to Stay Informed

Rural Health Open Door Forum
Press Releases
Mailing Lists -- Sign up for the Rural Health mailing list!

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