Centers for Medicare & Medicaid Services

Return to Previous Page

Browse by Provider Type

  • All Fee-For-Service Providers
  • Ambulatory Surgical Centers (ASC) Center
  • Ambulance Services Center
  • Anesthesiologists Center
  • Clinical Labs Center
  • Critical Access Hospitals Center
  • Durable Medical Equipment (DME) Center
  • Federally Qualified Health Centers (FQHC) Center
  • Home Health Agency (HHA) Center
  • Hospice Center
  • Hospital Center
  • Pharmacist Center
  • Physician Center
  • Practice Administration Center
  • Rural Health Center
  • Skilled Nursing Facility Center
Content Section

Rural Health Center

Spotlights
  • Try the NEW Guided Pathways (DEC2008) Medicare Learning Network (MLN) products! These three booklets incorporate existing Medicare Learning Network (MLN) products and other CMS resources into well organized sections that can help Medicare Fee-for-Service (FFS) providers and suppliers find information to understand and navigate the Medicare Program. The three Guided Pathways booklets guide learners to resources that provide a fundamental overview of Medicare knowledge, as well as detailed FFS policies and requirements. Click here to access the Guided Pathways educational web guide and booklets. (Posted 01/08/09)
  • 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
  • HIPAA Information for Medicare Providers
  • HIPAA Information for Medicare and Non-Medicare Providers
  • Medicare Information for Health Professional Shortage Areas (HPSAs) and Physician Scarcity Areas (PSAs)
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 Modernization Update 
  • Quarterly Provider Update
  • Health Insurance Portability and Accountability Act (HIPAA)
Medicare Prescription Drug Coverage
  • Information for Providers
National Provider Identifier (NPI)
  • Information for Medicare Fee-for-Service Providers about the NPI
Medicare Secondary Payer
  • Medicare Secondary Payer and You
  • Medicare Secondary Payer Manual
  • Coordination of Benefits
Educational Resources
  • Medicare Learning Network (MLN)
  • MLN Educational Web Guides
  • MLN Matters Articles (Search
  • MLN Products:  Rural Health 
Helpful Links
  • National Rural Health Association
  • Health Resources and Services Administration (HHS)
  • National Association of Rural Health Clinics
  • Rural Assistance Center
  • The Frontier Education Center
  • Technical Assistance and Services Center (TASC) - for the Rural Hospital Flexibility Program
  • The National Rural Recruitment and Retention Network (3R Net)
  • National Association for Rural Mental Health (NARMH)
  • The Kaiser Commission: Health Insurance Coverage in Rural America
  • The Kaiser Commission: The Uninsured in Rural America
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
  • Healthcare Common Procedure Coding System (HCPCS) 
  • Alpha-Numeric HCPCS File
  • ICD-9-CM -- General Information
  • ICD-9 -- Codes
  • Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs)
Coverage
  • Medicare Coverage
  • Medicare Coverage Database
  • Medicare National Coverage Determinations Manual
Medical Review/ Fraud & Abuse
  • Medical Review Process
  • Beneficiary Complaint Response Program
  • Physician Self Referral
Resources
  • American Indian/ Alaska Natives
  • Critical Access Hospital Center
  • Federally Qualified Health Centers (FQHC) Center 
  • Therapy Services
  • Medicaid Information
  • Partnering with CMS Center
  • Telehealth
  • "Health Care Financing Review" Articles
Medicare Fee-for-Service Part B Drugs
  • Competitive Acquisition Program for Part B Drugs & Biologicals
  • Historical Part B Drug Pricing Files
  • Medicare Part B Drugs Average Sales Price
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

 

Browse by Special Topic

  • American Indian/Alaska Native Center
  • End Stage Renal Disease (ESRD) Center
  • Legislative Affairs Center
  • Medicare Coverage Center
  • Newsroom Center
  • Ombudsman Center
  • Open Enrollment Center
  • Partnering with CMS Center
  • People With Medicare & Medicaid Center
  • Quality of Care Center
Return to Previous Page