United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2003_register executive 2010-09-23 article Part V Rules and Regulations D09002ee1c816b3d6 D09002ee1c816b51e United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule amends Medicare certification and payment requirements for rural health clinics (RHCs) as required by the Balanced Budget Act of 1997 (BBA). 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 as medically underserved; and limits waivers of certain nonphysician practitioner staffing requirements. This final rule imposes payment limits on provider-based RHCs and prohibits "commingling" (the use of the space, professional staff, equipment, and other resources) of an RHC with another entity. The rule also requires RHCs to establish a quality assessment and performance improvement program that goes beyond current regulations. Finally, this final rule addresses public comments received on the February 28, 2002 proposed rule and makes other revisions for clarity and uniformity and to improve program administration. 68 FR 74792 https://www.govinfo.gov/app/details/FR-2003-12-24/03-31572 03-31572 fr24de03-24 RIN 0938-AJ17 4120-01-P CMS-1910-F https://www.govinfo.gov/app/details/FR-2003-12-24/03-31572 https://www.govinfo.gov/content/pkg/FR-2003-12-24/html/03-31572.htm https://www.govinfo.gov/content/pkg/FR-2003-12-24/pdf/03-31572.pdf Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Grant Programs-Health Medicaid 27 p. 74792 74818 68 FR 74792 Title 42 Part 405 42 CFR Part 405 Title 42 Part 491 42 CFR Part 491 RIN 0938-AJ17 Medicare Program; Rural Health Clinics: Amendments to Participation Requirements and Payment Provisions; and Establishment of a Quality Assessment and Performance Improvement Program; Federal Register Vol. 68, Issue RULE 03-31572 V DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2004-02-23 CMS-1910-F 4120-01-P 03-31572 Final rule.

This final rule amends Medicare certification and payment requirements for rural health clinics (RHCs) as required by the Balanced Budget Act of 1997 (BBA). 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 as medically underserved; and limits waivers of certain nonphysician practitioner staffing requirements. This final rule imposes payment limits on provider-based RHCs and prohibits "commingling" (the use of the space, professional staff, equipment, and other resources) of an RHC with another entity. The rule also requires RHCs to establish a quality assessment and performance improvement program that goes beyond current regulations. Finally, this final rule addresses public comments received on the February 28, 2002 proposed rule and makes other revisions for clarity and uniformity and to improve program administration.

These regulations are effective on February 23, 2004. David Worgo (payment and certification policy), (410) 786-5919. Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Grant Programs-Health Medicaid Medicare: Rural health clinics Participation requirements, payment provisions, and Quality Assessment and Performance Improvement Program establishment, http://www.access.gpo.gov/nara/index.html http://www.bphc.hrsa.gov/ http://www.narhc.org http://www.nrharural.org http://www.raconline.org http://www.rupri.org http://www.ruralhealth.hrsa.gov Vol. 68, no. 247 Office of the Federal Register, National Archives and Records Administration 2003-12-24 continuing daily deposited born digital 373 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2003-12-24 P0b002ee1809e56c9 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr24de03 https://www.govinfo.gov/app/details/FR-2003-12-24 https://www.govinfo.gov/content/pkg/FR-2003-12-24/pdf/FR-2003-12-24.pdf https://www.govinfo.gov/content/pkg/FR-2003-12-24/xml/FR-2003-12-24.xml fdlp 74467 74828 DGPO 2010-09-23 2024-06-07 FR-2003-12-24 machine generated eng FR FR-2003-12-24 68 247