Document Detail


Medicare program; rural health clinics: amendments to participation requirements and payment provisions; and establishment of a quality assessment and performance improvement program. Final rule.
MedLine Citation:
PMID:  14976981     Owner:  HSR     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Federal register     Volume:  68     ISSN:  0097-6326     ISO Abbreviation:  Fed Regist     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2004-02-20     Completed Date:  2004-02-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7808722     Medline TA:  Fed Regist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  74791-818     Citation Subset:  T    
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care Facilities / economics,  legislation & jurisprudence*
Hospitals, Rural / economics,  legislation & jurisprudence*
Humans
Insurance, Health, Reimbursement / economics,  legislation & jurisprudence*
Medicaid / economics,  legislation & jurisprudence
Medically Underserved Area
Medicare / economics,  legislation & jurisprudence*
Quality Assurance, Health Care / economics,  legislation & jurisprudence*
Rural Health
Rural Health Services / economics,  legislation & jurisprudence*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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