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Rural Health Information Hub

Rural Health
Resources by Topic: Legislation and regulations

CMS State Operations Manual (SOM)
Provides guidance to state agencies that survey healthcare facilities and providers to determine if they are in compliance with the Medicare Conditions of Participation (CoP). Includes appendices with regulatory information specific to Critical Access Hospitals (Appendix W) and Federally Qualified Health Centers/Rural Health Clinics (Appendix G). Can be used by healthcare facilities as a tool to self-evaluate their compliance with Medicare CoP.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter G, Part 491, Subpart A - Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage
Establishes the conditions Rural Health Clinics and Federally Qualified Health Centers must meet to qualify for reimbursement under Medicare, as well as those that Rural Health Clinics must meet to qualify for reimbursement under Medicaid.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Federally Qualified Health Center and Rural Health Clinics
A provider manual covering the federal requirements and state guidelines for clinical services and billing procedures specific to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Minnesota.
Sponsoring organization: Minnesota Department of Human Services
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Medicare Learning Network: Swing Bed Services
Provides information about the requirements Critical Access Hospitals must meet in order to enter into a swing bed agreement under which they can use beds, as needed, to provide either acute or Skilled Nursing Facility care.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Telehealth & Remote Patient Monitoring
Contains information on originating sites, distant site practitioners, telehealth services, billing and payment for professional services furnished via telehealth as well as for the originating site facility fee, telehealth home health, remote patient monitoring, and a list of helpful websites.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Conrad 30 Waiver Program
Describes eligibility requirements, the application process, and other details regarding the Conrad 30 program, which allows thirty J-1 medical doctors per state to apply for the J-1 Visa Waiver and work in an underserved area.
Sponsoring organization: U.S. Department of Homeland Security
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Code of Federal Regulations: Title 42: Public Health, Chapter 4 Subchapter G: Standards and Certification Part 484 Home Health Services
Contains details and requirements for condition of participation for home health agencies.
Sponsoring organization: Centers for Medicare and Medicaid Services
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CAH Legislative History
Describes pieces of legislation that have resulted in the creation and modification of the Critical Access Hospital (CAH) program.
Sponsoring organization: American Hospital Association
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Medicare Learning Network: Information for Rural Health Clinics
Provides an overview of the Rural Health Clinic (RHC) program and services. Includes information regarding Medicare certification and payments.
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Medicare Disproportionate Share Hospital
Provides an overview of the Medicare Disproportionate Share Hospital (DSH) adjustment provision and lists requirements that hospitals must meet in order to qualify for it.
Sponsoring organization: Centers for Medicare and Medicaid Services
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