E. Provider Specific Web Pages

Travel Tip:

CMS offers an electronic mailing list service for those interested in receiving news from the Centers for Medicare & Medicaid Services (CMS). This service is optional. From www.cms.hhs.gov/apps/mailinglists/default.asp?audience=3 you can subscribe or unsubscribe from any of CMS's mailing lists.

Critical Access Hospital Web Page

This web page provides basic information about being certified as a Medicare and/or Medicaid Critical Access Hospital (CAH) provider and includes links to applicable laws, regulations, and compliance information.
www.cms.hhs.gov/CertificationandComplianc/04_CAHs.asp

Federally Qualified Health Center Web Page

This web page provides helpful links about billing and payment, education, and CMS manuals and transmittals.
www.cms.hhs.gov/center/fqhc.asp

Rural Health Clinic Web Page

This web page provides basic information about being certified as a Medicare and/or Medicaid rural health clinic (RHC) provider and includes links to applicable laws, regulations, and compliance information.
www.cms.hhs.gov/CertificationandComplianc/18_RHCs.asp

Fast Fact:

CMS offers an electronic mailing list service for those interested in receiving news from the Centers for Medicare & Medicaid Services (CMS). This service is optional. From www.cms.hhs.gov/apps/mailinglists/default.asp?audience=3 you can subscribe or unsubscribe from any of CMS's mailing lists.

Fast Fact:

Differences between Rural Health Clinics and Federally Qualified Health Centers:

Rural health clinics (RHCs) are clinics that are located in areas that are designated both by the Bureau of the Census as rural and by the Secretary of DHHS as medically underserved. RHCs have been eligible for participation in the Medicare program since March 1978. Services rendered by approved RHCs to Medicare beneficiaries are covered under Medicare effective with the date of the clinic's approval for participation.

The FQHC services consist of services that are similar to those provided in rural health clinics (RHC) but also include preventive primary services, as described in Pub. 100-02, Medicare Benefit Policy Manual

Medicare Benefit Policy Manual

Chapter 13 of the Medicare Benefit Policy Manual features information on Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) services.
www.cms.hhs.gov/Manuals/IOM/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=1&sortOrder=ascending&itemID=CMS012673

Medicare Claims Processing Manual

Chapter 9 of the Medicare Claims Processing Manual describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), method of Medicare payment for their services, billing requirements, and other important information.
www.cms.hhs.gov/Manuals/IOM/itemdetail.asp?filterType=none&filterByDID=-99&sortByDID=1&sortOrder=ascending&itemID=CMS018912

Fast Fact:

The Rural Health ODF addresses Rural Health Clinic (RHC), Community Access Hospital (CAH) and Federally Qualified Health Center (FQHC) issues, as well as some inclusion of other questions and concerns that occur in clinical practice pertaining to other CMS payment systems that also extend into these settings. Topics that frequently arise on this forum often deal with payment & billing for services subject to Health Professional Shortage Area (HPSA) and/or Physician Shortage Area (PSA) status, cost report clarifications, classifications for & qualifications of rural provider types, and the many special provisions being implemented for improving rural health in the Medicare Modernization Act of 2003. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums.
http://www.cms.hhs.gov/OpenDoorForums/24_ODF_RuralHealth.asp