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HHS/CMS RIN: 0938-AJ17 Publication ID: Spring 2011 
Title: Medicare Changes in Conditions of Participation Requirements and Payment Provisions for Rural Health Clinics and Federally Qualified Health Centers (CMS-1910-F2) 
Abstract: This rule finalizes the provisions of the proposed rule published on June 27, 2008, which reissued provisions of the final rule that was published on December 24, 2003, but was subsequently suspended. This final rule amends the Medicare certification requirements for rural health clinics (RHCs), as required by section 4205 of the Balanced Budget Act of 1997. It updates the regulations pertaining to RHC staffing requirements, allows RHCs to contract with RHC nonphysician providers, and revises the RHC and Federally Qualified Health Center (FQHC) payment methodology. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
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:
Action Source Description Date
Final  Statutory  MMA Section 902  06/27/2011 
Timetable:
Action Date FR Cite
NPRM  02/28/2000  65 FR 10450   
NPRM Comment Period End  04/28/2000    
Final Rule  12/24/2003  68 FR 74791   
Interim Final Rule  09/22/2006  71 FR 55341   
Interim Final Rule Comment Period End  11/21/2006    
Second NPRM  06/27/2008  73 FR 36463   
NPRM Comment Period End  08/26/2008    
Final Action  06/00/2011    
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