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Rural Health Information Hub

Rural Health
Resources by Topic: Rural Health Clinics

Leveraging Medicaid Financing and Coverage Benefits to Deliver PrEP Intervention Services
Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Sponsoring organization: AcademyHealth
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Communication Technology Based Services and Payment for Rural Health Clinic (RHCs) and Federally Qualified Health Centers (FQHCs)
Guidance for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing related to communication technology-based services effective January 1, 2019.
Citation: MLN Matters, MM10843
Date: 01/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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What Is New for RHCs in 2019?
Lists changes to the Centers for Medicare and Medicaid Services (CMS) policies related to Rural Health Clinics (RHCs). Includes updates to the Medicare Benefit Policy Manual, coverage for virtual communication services, an increase of the RHC Medicare Upper Payment Limit, and an increase in Chronic Care Management reimbursement.
Author(s): Nathan Baugh
Date: 01/2019
Sponsoring organization: National Association of Rural Health Clinics
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FQHCs, Rural Health Clinics, and Critical Access Hospitals in Oklahoma
County-level map of Oklahoma showing the locations of Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs) within the state. Also shows Primary Care Health Professional Shortage Areas (HPSAs) by designation type.
Date: 12/2018
Sponsoring organization: Oklahoma State University Center for Rural Health
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Medical Surge and the Role of Health Clinics
Results of a study exploring the scope and level of implementation of emergency management activities among health clinics, including Federally Qualified Health Centers and Rural Health Clinics. Uses information from 175 online surveys with health clinic leaders from 38 states. Features statistics from participating clinics, with breakdowns by urban, suburban, rural, and remote locations, and type of clinic.
Additional links: Summary
Date: 10/2018
Sponsoring organization: Administration for Strategic Preparedness and Response
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2019
Comment on a July 2018 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions.
Author(s): Francis J. Crosson
Date: 09/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Emerging Strategies to Ensure Access to Health Care Services: Rural Hospital-Health Clinic Integration
Provides an overview of the benefits of sharing resources between rural hospitals and clinics, including Federally Qualified Health Centers. Offers suggestions for federal policy solutions and actions for hospital and health system to deploy.
Date: 08/2018
Sponsoring organization: American Hospital Association
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2018 Rural Hospital and Clinic Financial Summit Report: Key Financial Success Indicators and Strategies
Identifies the indicators of financial success for hospitals and clinics, provides strategies to transition into value-based payment models, and includes success stories from Summit participants and resources necessary for hospitals and clinics. Includes a table showing Critical Access Hospital financial indicators medians for 2016.
Date: 07/2018
Sponsoring organization: National Rural Health Resource Center
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The Medicaid Fee-for-Service Provider Payment Process
Outlines Medicaid's fee-for-services (FFS) provider payment process. Details the claims-based submission payment process, as well as additional non-claims-based payment processes. Includes information targeted to Rural Health Clinics and Federally Qualified Health Centers throughout.
Date: 07/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities
Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Sponsoring organization: Maine Rural Health Research Center
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