Medicare and Medicaid programs; rural health clinic payment limits and productivity screening guidelines--Health Care Financing Administration, HHS. Final notice.
This notice establishes revised productivity screening guidelines and a revised upper limit on Medicare and Medicaid rates of payment for rural health clinic services furnished by independent rural health clinics. Payments under both programs for rural health clinic services are currently subject to productivity screening guidelines. These guidelines identify clinic costs that will not be reimbursed without special justification by the clinic. These revised guidelines on productivity conform to those set forth by the Bureau of Community Health Services (BCHS), Public Health Service for clinics receiving funds from that agency. We are also discontinuing use of a specific guideline for overhead costs for rural health clinics. In addition, we have set a new limit on payments using more recent data, but have retained the same methodology used in setting previous limits. The amount of the revised upper limit is $32.10 per visit.
D014487:Centers for Medicare and Medicaid Services, U.S.; D008484:Medicaid / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D012423:Rural Health / Q000592:standards*; D014481:United States