title: Announcement and proposed criteria for rural health medical education demonstration projects--HRSA. Notice.
abstract: The Health Resources and Services Administration (HRSA) in coordination with the Health Care Financing Administration announces its intent to implement section 4038 of the Omnibus Budget Reconciliation Act of 1987 (Pub. L. 100-203) (the Act), authorizing Rural Health Medical Education Demonstration Projects. This is a demonstration to assist physicians to develop clinical experience in rural areas using reimbursement for graduate medical education under the Social Security Act. For the purposes of these projects, payments made for the indirect costs of graduate medical education, pursuant to section 1886(d)(5)(B) of the Social Security Act, for any part of a year that a resident works at a small rural hospital, shall be treated as if the resident was working at the sponsoring hospital on September 1 of that year, and shall not be treated as if the resident was working in the small rural hospital. Medicare's share of the direct graduate medical education costs of the sponsoring hospital will be increased for the duration of the project to meet any reasonable additional direct costs incurred for the education and training of resident physicians at the rural site. The sponsoring hospital will be required to separately accumulate the costs of the demonstration project. Medicare will reimburse the sponsoring hospital for Medicare's share of the additional costs the hospital incurs in connection with the project under the reasonable cost authority in section 1861(v) of the act. Reimbursement for these costs will be in addition to the hospital's payment under section 1886(h). It should be noted that direct costs may only be claimed once and will not be reimbursed under both section 1886(h) and 1861(v).(ABSTRACT TRUNCATED AT 250 WORDS)
mesh_terms: D004469:Economics, Hospital; D004503:Education, Medical, Graduate / Q000191:economics*; D006780:Hospitals, Rural / Q000191:economics*; D007396:Internship and Residency / Q000191:economics*; D006278:Medicare / Q000331:legislation & jurisprudence*; D010865:Pilot Projects; D014146:Training Support / Q000331:legislation & jurisprudence*; D014481:United States