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Rural Health Clinic/Federally Qualified Health Center

Publication and effective dates:         

Original publication date Conditions for Certification- RHCs – 1978; effective, Feb 8, 1978 Conditions for Certification; July 1, 1978 Coverage and Reimbursement  Requirements

Amendments to participation requirements and quality assessment and performance improvement (QAPI) for RHCs--December 24, 2003

Original publication date – FQHCs – June 12, 1992; statutory provisions effective October 1, 1991

Coverage and Payment for FQHCs – April 3, 1996; effective May 3, 1996

 Rule to withdraw portions of the December 24, 2003 rule—September 22, 2006    Proposed dates:

FQHCs – IFC (Payment regulation) – June 12, 1992;

CFR section numbers:

    42 CFR Parts 405 and 491

    CFR section descriptions:

    42 CFR 405.2462, Payment for rural health clinic services and Federally qualified health centers

    42 CFR 491.1, Rural health clinics conditions for certification and FQHCs conditions for coverage

Brief description of document(s):

    42 CFR 405.2462, Payment for rural health clinic services and federally qualified health centers.  This section regulates how FQHCs and RHCs are reimbursed by Medicare.

    42 CFR 491.1 -- Rural health clinics conditions for certification and FQHCs conditions for coverage.  These are health and safety standards that RHCs and FQHCs must comply with in order to qualify for Medicare reimbursement.


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Related Links Inside CMS

Certification & Compliance: Rural Health Clinics
Related Links Outside CMS
September 22, 2006 final rule

CONDITIONS FOR COVERAGE: CONDITIONS FOR CERTIFICATION: RURAL HEALTH CLINICS AND CONDITIONS FOR COVERAGE: FEDERAL QUALIFIED HEALTH CENTERS

 

Page Last Modified: 06/10/2009 9:09:37 AM
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