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Rural Health Information Hub

Rural Health
Resources by Topic: Health insurance

Eligible Clinician eCQMs
Features updated electronic clinical quality measures (eCQMs) and related resources for eligible clinicians participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs) programs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Eligible Hospital / Critical Access Hospital eCQMs
Features updated electronic clinical quality measures (eCQMs) for Hospital Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability programs for reporting in Eligible Hospitals and Critical Access Hospitals (CAHs).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter B, Part 425: Medicare Shared Savings Program
Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Long-Term Services and Supports Program Examples
Highlights successful long-term care programs serving Native elders in their tribal communities. Program profiles feature list of services provided, program history, point of contact, and other details.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS: Rural Health
Provides information about the Centers for Medicare and Medicaid Services' (CMS) rural health initiatives, including the CMS Rural Health Council. Also provides links to rural-specific resources, publications, and reports.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Operations Manual Appendix Z - Emergency Preparedness for All Provider and Certified Supplier Types Interpretive Guidance
Interpretive guidelines clarifying several provisions of the emergency preparedness final rule for Medicare- and Medicaid-participating providers, which affects Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), and other rural facilities.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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List of Skilled Nursing Facility (SNF) Federal Regulations
Lists federal regulations and notices related to the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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End-Stage Renal Disease (ESRD) Payment Regulations and Notices
Lists federal regulations and notices related to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Physician Fee Schedule (PFS) Federal Regulation Notices
Lists federal regulations and notices related to the Medicare Physician Fee Schedule (PFS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Regulations and Notices
Lists federal regulations and notices related to the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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