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Rural Health Information Hub

Rural Health
Resources by Topic: Clinics

Health Centers and Rural Clinics: State and Federal Implementation Issues for Medicaid's New Payment System
Reviews states' implementation of the prospective payment system (PPS) for Medicaid payments to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Includes recommendations for CMS on guidance and oversight for states.
Additional links: Full Report
Date: 06/2005
Sponsoring organization: Government Accountability Office
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Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey
Examines how Critical Access Hospital (CAH) services have changed over time, based on 2000, 2002, and 2004 survey data. Discusses the role of network affiliations in service changes and reasons for reported service expansions.
Author(s): David Hartley, Stephenie Loux
Date: 03/2005
Sponsoring organization: Flex Monitoring Team
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Nonmetropolitan Counties and VA Clinics
Offers a map of the United States showing nonmetropolitan counties and Veterans Affairs (VA) Clinics.
Date: 2005
Sponsoring organization: North Carolina Rural Health Research Program
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Starting a Rural Health Clinic: A How-To Manual
Detailed guide describing the Rural Health Clinic (RHC) program. Includes instructions on how to determine eligibility and financial feasibility of RHC status and how to apply to become an RHC. Includes a sample RHC policies and procedures manual.
Date: 04/2004
Sponsoring organization: Federal Office of Rural Health Policy
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Modeling the Frontier Extended Stay Clinic Conditions of Participation and Reimbursement Methodologies
Discusses the financial feasibility of the Frontier Extended Stay Clinic (FESC), a proposed provider type to expand services in remote and isolated primary care clinics. Compares Medicare reimbursement for FESC status with Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), and Critical Access Hospital (CAH) reimbursement. Includes detailed examples of financial impact for seven clinics in rural Alaska, Nevada, Washington, and Wyoming.
Date: 2004
Sponsoring organization: Federal Office of Rural Health Policy
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The Characteristics and Roles of Rural Health Clinics in the United States: A Chartbook
Offers a comprehensive picture of the Rural Health Clinic (RHC) program and the operations of RHCs. Covers characteristics of RHCs, staffing and recruitment, location, and more.
Author(s): John A. Gale, Andrew F. Coburn
Date: 01/2003
Sponsoring organization: Maine Rural Health Research Center
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The Role of Community Mental Health Centers as Rural Safety Net Providers
Case studies of 3 Community Mental Health Centers (CMHCs) serving rural populations in Maine, Minnesota, and Oregon to determine if acting as a mental health safety net provider was within their mission.
Author(s): David Hartley, Donna C. Bird, David Lambert, John Coffin
Date: 11/2002
Sponsoring organization: Maine Rural Health Research Center
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Implementing Quality Assessment and Performance Improvement Systems in Rural Health Clinics: Clinic and State Agency Responses
Assesses Rural Health Clinics (RHCs) and their compliance with Quality Assessment and Performance Improvement (QAPI) requirements.
Author(s): Astrid Knott, Karen Travers
Date: 08/2002
Sponsoring organization: University of Minnesota Rural Health Research Center
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Trends in Special Medicare Payments and Service Utilization for Rural Areas in the 1990s
Presents the findings of an analysis of payment trends for providers qualifying under Medicare special payment provisions for rural providers. Covers payment trends for rural hospitals, Rural Health Clinics, Federally Qualified Health Centers, and physicians.
Author(s): Donna O. Farley, Lisa R. Shugarman, Pat Taylor, et al.
Date: 06/2002
Sponsoring organization: RAND Corporation
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A Targeted Look at the Rural Health Care Safety Net
Report to the Secretary of the U.S. Department of Health and Human Services. Discusses the safety net, the web of professionals and institutions that provide care to the poor and uninsured regardless of ability of pay. Also covers key safety net programs under the purview of the Secretary of Health and Human Services. Its findings fall into three categories: ensuring access to hospital services, ensuring access to primary care, and maintaining an adequate workforce.
Date: 04/2002
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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