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HHS/CMS | RIN: 0938-AJ17 | Publication ID: Fall 2008 |
Title: Medicare Program; Changes in Conditions of Participation Requirements and Payment Provisions for Rural Health Clinics and Federally Qualified Health Centers (CMS-1910-F2) | |
Abstract: This rule amends the Medicare certification and payment requirements for rural health clinics (RHCs), as required by section 4205 of the Balanced Budget Act of 1997. It changes the definition of a qualifying rural shortage area in which a Medicare RHC must be located; establishes criteria for identifying RHCs essential to delivery of primary care services that we can continue to approve as Medicare RHCs in areas no longer designated medically underserved; and limits nonphysician practitioner staffing requirements. This rule imposes payment limits on provider-based RHCs and prohibits the use of RHC space, professional staff, equipment, and other RHC resources by another Medicare entity. The rule also requires RHCs to establish a quality assessment and performance improvement program. In addition, we are finalizing new policy revisions to the RHC and FQHC programs to improve and strengthen this rural safety net benefit that addresses section 5114 of the Deficit Reduction Act of 2005. | |
Agency: Department of Health and Human Services(HHS) | Priority: Other Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Long-Term Actions |
Major: No | Unfunded Mandates: No |
CFR Citation: 42 CFR 405 42 CFR 491 | |
Legal Authority: 42 USC 1302 42 USC 1395hh Deficit Reduction Act of 2005 (PL 109-171), sec 6083 |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: Federal |
Small Entities Affected: Businesses | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: John Warren Health Insurance Specialist Department of Health and Human Services Centers for Medicare & Medicaid Services Centers for Medicare Management, Mail Stop C4-01-15, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-3633 Email: john.warren@cms.hhs.gov |