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Rural Health Information Hub

Rural Health
Resources by Topic: Legislation and regulations

Health IT Legislation and Regulations
Provides information related to legislation and regulations for health information technology systems in the United States, including standards and certification criteria that electronic health records must meet.
Type: Website
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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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.
Type: Website
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.
Type: Document
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.
Type: Website
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.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Telehealth Services
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, and a list of helpful websites.
Type: Document
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.
Type: Website
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.
Type: Document
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.
Type: Document
Sponsoring organization: American Hospital Association
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Medicare Learning Network: Rural Providers & Suppliers Billing
Provides Medicare billing information by provider type and type of service, including information on where to submit claims. Includes information for Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Home Health Agencies, Rural Health Clinics (RHCs), Skilled Nursing Facilities, and Swing Bed services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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