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        <title>Medicare Program; Prospective Payment System for Federally Qualified Health Centers; Changes to Contracting Policies for Rural Health Clinics; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral</title>
        <partNumber>Part V</partNumber>
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    <abstract>This final rule with comment period implements methodology and payment rates for a prospective payment system (PPS) for federally qualified health center (FQHC) services under Medicare Part B beginning on October 1, 2014, in compliance with the statutory requirement of the Affordable Care Act. In addition, it establishes a policy which allows rural health clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and makes other technical and conforming changes to the RHC and FQHC regulations. Finally, this final rule with comment period implements changes to the Clinical Laboratory Improvement Amendments (CLIA) regulations regarding enforcement actions for proficiency testing (PT) referrals.</abstract>
    <identifier type="FR citation">79 FR 25436</identifier>
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        <topic>Administrative Practice and Procedure</topic>
        <topic>Health Facilities</topic>
        <topic>Health Professions</topic>
        <topic>Kidney Diseases</topic>
        <topic>Medical Devices</topic>
        <topic>Medicare</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
        <topic>Rural Areas</topic>
        <topic>X-Rays</topic>
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        <searchTitle>Medicare Program; Prospective Payment System for Federally Qualified Health Centers; Changes to Contracting Policies for Rural Health Clinics; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral; Federal Register Vol. 79, Issue </searchTitle>
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        <summary>This final rule with comment period implements methodology and payment rates for a prospective payment system (PPS) for federally qualified health center (FQHC) services under Medicare Part B beginning on October 1, 2014, in compliance with the statutory requirement of the Affordable Care Act. In addition, it establishes a policy which allows rural health clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and makes other technical and conforming changes to the RHC and FQHC regulations. Finally, this final rule with comment period implements changes to the Clinical Laboratory Improvement Amendments (CLIA) regulations regarding enforcement actions for proficiency testing (PT) referrals.</summary>
        <dates>Effective Dates: The provisions of this final rule with comment period are effective on October 1, 2014, except for amendments to Sec. 405.2468(b)(1), Sec. 491.8(a)(3), Sec. 493.1, Sec. 493.2, Sec. 493.1800, and Sec. 493.1840 which are effective July 1, 2014.</dates>
        <contact>Corinne Axelrod, (410) 786-5620 for FQHCs and RHCs. Melissa Singer, (410) 786-0365 for CLIA Enforcement Actions for Proficiency Testing Referral.</contact>
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            <subject>Administrative Practice and Procedure</subject>
                                    
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            <subject>Kidney Diseases</subject>
                                    
            <subject>Medical Devices</subject>
                                    
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            <subject>Penalties</subject>
                                
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        <tocDoc>Medicare Programs; Prospective Payment System for Federally Qualified Health Centers, etc.
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        <urlRef>http://www.whitehouse.gov/omb/circulars_a004_a-4/</urlRef>
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