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Federally Qualified Health Centers (FQHCs) Resources

Selected recent or important resources focusing on Federally Qualified Health Centers (FQHCs).

Projected Financial Losses Experienced by Community Health Centers under a Scenario of Major Cuts in Key Sources of Federal Funding: 2018-2022
Simulates the potential financial impacts on health centers and communities if the following congressional proposals are implemented: cuts to federal funding for Medicaid expansion, cuts to federal funding for Marketplace subsidies, and allowing the Community Health Centers Fund to expire. Also assesses the implications for other state and federal programs that may be required to help fill the resulting service and funding gaps.
Author(s): Avi Dor, Eric Luo, Ali Moghtaderi, Anne Rossier Markus
Date: 04/2017
Type: Document
Sponsoring organization: George Washington University Department of Health Policy and Management
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How Could Repealing Key Provisions of the Affordable Care Act Affect Community Health Centers and their Patients?
Analyzes and estimates the potential effects of repealing certain provisions of the Affordable Care Act (ACA), focusing primarily on the implications for community health centers located in medically underserved communities. Examines how each of the following actions may affect health centers and primary healthcare access: ending the Health Centers Fund, ending health insurance subsidies, and ending expanded Medicaid coverage.
Author(s): Sara J. Rosenbaum, Jessica Sharac, Thao-Chi Tran, et al.
Date: 03/2017
Type: Document
Sponsoring organization: George Washington University Department of Health Policy and Management
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Strengthening the Safety Net: Community Health Centers on the Front Lines of American Health Care
Highlights community health centers as an integral part of the American healthcare delivery system. Explains how health centers area able to improve access to care, deliver value, serve communities, and respond to emerging challenges. Also provides stories about health centers that currently serve rural communities, and presents policy priorities that will help health centers succeed in the future.
Date: 03/2017
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Health Center Program Fact Sheet
Brief overview of the Health Center Program, focusing on the goals of increasing access to care, improving health outcomes, and reducing healthcare costs. Included graph helps illustrate program growth over the 15-year period from 2000-2015.
Date: 03/2017
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Community Health Centers: Recent Growth and the Role of the ACA
Uses 2015 federal data on health centers and survey results from the 2016 Survey of Health Centers' Experiences and Activities to provide an overview of health centers and their patients. Compares health centers in Medicaid expansion and non-expansion states, covering topics such as revenue sources, service capacity, patient demographics, patient health coverage, and more. Also discusses the distribution and impact of health centers in rural and medically underserved communities.
Author(s): Sara Rosenbaum, Julia Paradise, Anne Markus, et al.
Date: 01/2017
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Rural Health Clinic and Federally Qualified Health Center - Medicare Benefit Policy Manual Chapter 13 Update
Highlights key revisions effective March 9, 2017 made by the Centers for Medicare & Medicaid Services (CMS) to Chapter 13 of the Medicare Benefit Policy Manual for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) submitting claims to Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Spotlight on Health Center Payment Reform: Oregon Alternative Payment and Advanced Care Model
Provides an overview of Oregon’s Alternative Payment and Advanced Care Model (APCM), a CMS approved payment methodology, as a response to health system reform to improve quality, access, health equity, and reduce healthcare costs. Highlights the implementation criteria for Federally Qualified Health Centers (FQHCs) which includes interaction with rural health clinics and the Indian Health Service.
Date: 12/2016
Type: Document
Sponsoring organizations: National Association of Community Health Centers, Oregon Primary Care Association
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Nonmetropolitan Federally Qualified Health Centers (FQHCs)
Printable map that shows the location of nonmetropolitan FQHCs nationwide by state. Data source: HRSA Data Warehouse, U.S. Department of Health and Human Services, December 2016.
Date: 12/2016
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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The Impact of State Health Policies on Integrated Care at Health Centers
Examines the opportunities and challenges at the federal, state, payer, and provider levels regarding the adoption of an integrated healthcare model focusing on the coordination of medical care and behavioral health in rural and urban community health centers (CHCs). Describes specific state initiatives that have supported or inhibited this coordinated approach.
Author(s): Joel Hornberger, Bob Franko, Dennis Freeman
Date: 10/2016
Type: Document
Sponsoring organization: National Association of Community Health Centers
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A Sketch of Community Health Centers: Chartbook
Uses graphs, figures, and maps to document the services that health centers provide, the patients they serve, and the progress they have made in improving access to healthcare, including in rural areas. Also reports on health centers' financial health, workforce status, economic impact, remaining challenges, and more.
Date: 08/2016
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Update on Medicaid Expansion via 1115 Waivers
A discussion on the current status and trends of Medicaid expansion waivers and premium assistance activity among the states, and the implications for Federally Qualified Health Centers (FQHCs), and to some extent Rural Health Clinics (RHCs). Includes more detailed information on approved provisions occurring in Arizona, Arkansas, Indiana, Iowa, Michigan, Montana, and New Hampshire.
Date: 06/2016
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Improving the Care of Dual Eligible Patients in Rural Federally Qualified Health Centers: The Impact of Care Coordinators and Clinical Pharmacists
Discusses a care coordination project that included 3 Federally Qualified Health Centers (FQHCs) and 502 patients in rural West Virginia, and a tertiary care referral hospital in southern West Virginia to determine if expanded use of care coordinators and clinical pharmacists could improve the care experience and healthcare outcome of dual eligible patients.
Author(s): Daniel Doyle, Mary Emmett, Amber Crist, Craig Robinson, Michael Grome
Location: Journal of Primary Care & Community Health, 7(2) 118-121
Date: 04/2016
Type: Document
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Medicare Shared Savings Program and Rural Providers
Provides an overview of Accountable Care Organizations (ACOs) for rural providers. Reports that the Medicare Shared Savings Program will reward Accountable Care Organizations that lower their growth in healthcare costs while meeting performance standards on quality of care. The regulations provide for FQHCs and RHCs to participate in the Shared Savings Program by becoming their own ACOs, or by joining an ACO as an ACO participant along with other organizations.
Date: 03/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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America's Health Centers
Fact sheet that provides basic information in question and answer format about Federally Qualified Health Centers in rural and urban areas.
Date: 03/2016
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Federal Health Centers: An Overview
Explains the Federal Health Center program, with information relating to the statutory authority, program requirements, funding, location, patient populations, health outcomes, and more. Also discusses the Federally Qualified Health Center (FQHC) designation, and how this designation affects Medicare and Medicaid payment levels.
Date: 01/2016
Type: Document
Sponsoring organization: Congressional Research Service
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Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Revised regulations, as of January 15, 2016, regarding Medicare payment policies for Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC).
Date: 01/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guidance on the Physician Quality Reporting System (PQRS) 2014 Reporting Year and 2016 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs)
Lists frequently asked questions concerning Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals who submit claims to Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.
Date: 2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies
Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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2015 Update on the Implementation of the FQHC Prospective Payment System (PPS) in the States
Provides updates on regulatory policy changes to the prospective payment system (PPS) and the alternative payment methodology (APM) as reported by NACHC's annual survey of state primary care associations (PCAs) as they affect both rural and urban Federally Qualified Health Centers (FQHCs). This report covers the use of PPS and APM across the states, dual eligible, and service specific rates.
Author(s): Luke Ertle, Dawn McKinney
Date: 12/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Chronic Care Management (CCM) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides instructions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) on how to submit claims for chronic care management services according to the RHC All-Inclusive Rate and the FQHC Prospective Payment System, effective January 1, 2016.
Date: 11/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Colorectal Cancer Burden and Access to Federally Qualified Health Centers in California
Examines the geographic variation, distance to a Federally Qualified Health Center (FQHC), and poverty level of the patient population and their access to a private vehicle relative to the number of late-stage diagnosis of colorectal cancer in California.
Author(s): Brendan Darsie, Jennifer Rico, Madhurima Gadgil, Joshua Tootoo
Location: Preventing Chronic Disease, 2
Date: 10/2015
Type: Document
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Case Studies of 8 Federally Qualified Health Centers: Strategies to Integrate Oral Health with Primary Care
Results of a study conducted between February and July 2015, examining the most effective workforce models, describing delivery of oral health services, and identifying barriers and facilitators of integrating primary care and oral health services in urban and rural Federally Qualified Health Centers.
Author(s): Margaret Langelier, Jean Moore, Bridget Baker, Elizabeth Mertz
Date: 09/2015
Type: Document
Sponsoring organization: Oral Health Workforce Research Center
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Performance Measurement for Rural Low-Volume Providers
Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs, and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Type: Document
Sponsoring organization: National Quality Forum
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State Trends that Impact the Use of Telehealth at Health Centers: Store-and-Forward and Remote Patient Monitoring
A discussion of several state policies and their legislative activity regarding telehealth services involving asynchronous encounters. These encounters include store-an-forward methods where data is transferred between a patient and provider, or provider to provider, and remote patient monitoring that uses two-way video, remote measurements, and phone-based systems to manage patient care.
Author(s): Heidi Emerson
Date: 09/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Technology Stemming from Tragedy
Describes how Finger Lakes Community Health, a rural Federally Qualified Health Center, developed an open access telehealth network in response to two separate traffic accidents involving FLCH providers.
Author(s): Kate Menzies
Location: Rural Monitor
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration
Reports on a 3 year demonstration project regarding the change of Federally Qualified Health Centers (FQHCs) into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges involved in this change and the effects of the APCP model on access, quality and cost of care delivered to Medicare and Medicaid patients. Includes a rural/urban comparison of findings and data.
Author(s): Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, et al.
Date: 07/2015
Type: Document
Sponsoring organization: RAND Corporation
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Qualified Health Plans & Health Centers: A Primer
Provides an overview of how Federally Qualified Health Centers (FQHCs) can act as the contracted essential community provider (ECP) for health plans sold through the Health Insurance Marketplace, thus providing low-income and medically underserved patients with consistent healthcare during times when their incomes and personal circumstances change.
Date: 07/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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The Role of Health Centers in Lowering Preventable Emergency Department Use
Discusses the effectiveness of health centers, including community and migrant health centers, providing high quality and timely primary care and reducing the use of emergency departments by patients who have limited access to healthcare, such as low-income, uninsured, and those residing in rural communities.
Date: 07/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Funded! Now What?
Provides a step-by-step guide for section 330 grantees who have recently been funded. Covers governance, administration, recruitment, finance, clinical, operations, information technology, facilities management, and risk management.
Author(s): Henson, Ted
Date: 06/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics
Discusses the results of a survey of rural and urban community health clinics and other clinics to evaluate the use of cell phones to engage patients in their healthcare. Highlights areas where the use of cell phones has shown to be successful in chronic disease management.
Author(s): Andrew Broderick, Farshid Haque
Date: 05/2015
Type: Document
Sponsoring organization: Commonwealth Fund
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Community Health Centers: A 2013 Profile and Prospects as ACA Implementation Proceeds
Discusses the current and future role of rural and urban community health centers as an integral component in the provision of primary healthcare to accommodate the expansion of patients with health insurance coverage under the Affordable Care Act.
Author(s): Jessica Sharac, Zoe Barber, Sara J. Rosenbaum, Julia Paradise
Date: 03/2015
Type: Document
Sponsoring organization: George Washington University Department of Health Policy and Management
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Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 01/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Guidance on the Physician Quality Reporting System (PQRS) 2013 Reporting Year and 2015 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs)
Lists frequently asked questions concerning Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals who submit claims to Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.
Date: 2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Health Center Growth & Sustainability: State Profiles From the Northeastern and Mid-Atlantic United States
Provides health and economic data, and Medicaid policy information regarding community health centers (CHCs) in rural and urban areas, from 13 Northeastern and Mid-Atlantic states (Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia and West Virginia) and the District of Columbia.
Author(s): Dan Lowenstein, Nancy Lager, Tom Manning
Date: 12/2014
Type: Document
Sponsoring organization: RCHN Community Health Foundation
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Health Center Program Site Visit Guide: For HRSA Health Center Program Grantees and Look-Alikes
A standardized review instrument used to conduct operational site visits at health centers in rural and urban areas. Health centers may also use this guide to assess compliance with federal program requirements and to identify clinical and financial performance improvement areas.
Date: 11/2014
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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42 CFR 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.
Date: 10/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions
Offers information on community health centers, which provide access to care for patients in rural and medically underserved areas. Provides a comparison of health centers in Medicaid expansion and non-expansion states, and the percentage of those health centers in rural versus urban locations.
Author(s): Peter Shin, Jessica Sharac, Sara Rosenbaum, Julia Paradise
Date: 09/2014
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Medicare Billing Information for Rural Providers and Suppliers
Provides Medicare billing charts and information on where to submit claims for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), Skilled Nursing Facilities, Home Health Agencies, Critical Access Hospitals, and Swing Bed services.
Date: 08/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics / Federally Qualified Health Centers
Describes the differences between Rural Health Clinics and Federally Qualified Health Centers. Identifies the rules and regulations for processing Medicare claims.
Date: 07/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Centers and Electronic Health Records: Adoption, Use, and Impact
Provides a brief overview of the adoption rate of electronic health records in both urban and rural federally funded health centers.
Date: 06/2014
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Medicare Program; Prospective Payment System for FQHCs; Changes to Contracting Policies for RHCs; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral
The final rule with comment period that implements the methodology and payment rates for a prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs) services beginning October 1, 2014 under Medicare Part B, in compliance with the Affordable Care Act (ACA). Identifies the policy allowing Rural Health Clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and incorporated are other technical changes to FQHC and RHC regulations. Changes to the Clinical Laboratory Improvement Amendments of 1988 enforcement actions for proficiency testing referral are included.
Date: 05/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Safety Net Clinics Serving the Elderly in Rural Areas: Rural Health Clinic Patients Compared to Federally Qualified Health Center Patients
Compares the distribution of Rural Health Clinics (RHCs) and nonmetro Federally Qualified Health Centers (FQHCs). Looks at how the Medicare populations served by these types of facilities differ.
Author(s): Andrea D. Radford, Victoria A. Freeman, Denise A. Kirk, Hilda A. Howard, Mark Holmes
Date: 05/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Ready or Not? How Community Health Centers View Their Preparedness to Care for Newly Insured Patients
Surveys Federally Qualified Health Centers (FQHCs) on their preparedness for the anticipated growth in patients due to more people having obtained health insurance under the enactment of the Affordable Care Act. Mentions rural throughout.
Author(s): Melinda Abrams, Michelle Doty, Jamie Ryan, Dominique Hall, Pamela Riley
Date: 05/2014
Type: Document
Sponsoring organization: Commonwealth Fund
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Building Research Partnerships with Community Health Centers: A Toolkit for Academics
Helps academics and external researchers understand the health center model and unique structure that includes research and participation that is community-based. Provides guidance to help develop more equitable and sustainable relationships with health centers. Approximately half of all health center patients live in rural areas.
Author(s): Michelle Jester, Michelle Proser, Peter Shin
Date: 05/2014
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Project ECHO: Bridging the Gap in Health Care for Rural and Underserved Communities
Discusses the Project ECHO model and how it allows physicians, nurse practitioners, and other clinicians to jointly manage complex illness and promotes the use of best practices in care, while enabling patients to receive treatment in their rural communities.
Date: 04/2014
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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National Health Service Corps Site Reference Guide
Serves as clarification for NHSC sites regarding eligibility requirements and qualification factors, the application and recertification process, site roles and responsibilities, clinician recruitment, and technical assistance. This document is a supplement to the online NHSC Site Application.
Date: 04/2014
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Collaboration, Not Competition to Improve Community Health
Darrold Bertsch, CEO of Sakakawea Medical Center and Coal Country Community Health Center, Hazen, N.D., discusses how a rural Critical Access Hospital (CAH) and Federally Qualified Health Center (FQHC) can work in an integrated and collaborative setting to provide better service to their communities.
Author(s): Matthew Weinstock
Date: 03/2014
Type: Document
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Medicaid Expansion and Section 1115 Waiver Demonstrations
Provides an overview of some of the provisions contained within the demonstration waivers approved to date that Federally Qualified Health Centers (FQHCs), including those in rural areas, should be aware of.
Date: 03/2014
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Access Is the Answer: Community Health Centers, Primary Care & the Future of American Health Care
Discusses health insurance coverage through the Affordable Care Act as only part of a healthier America. Access to healthcare by ensuring a regular, reliable source of quality preventive and primary healthcare is another separate part of the healthcare equation. Includes information on healthcare inadequacy in rural areas.
Date: 03/2014
Type: Document
Sponsoring organization: National Association of Community Health Centers
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The Role of Community Health Centers in Assessing the Social Determinants of Health for Planning and Policy: The Example of Frontier New Mexico
Discusses the use of the Tool for Health and Resilience in Vulnerable Environments (THRIVE) by a frontier-based community health center in New Mexico for evaluating and addressing social determinants of health.
Author(s): Sean Bruna, Lisa Cacari Stone, Susan Wilger, Jeremy Cantor, Carolina Guzman
Location: Journal of Ambulatory Care Management, 37(3), 258-268
Date: 2014
Type: Document
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Effects of Patient-Centered Medical Home Attributes on Patients' Perceptions of Quality in Federally Supported Health Centers
Analyzes patient survey results that rated the quality of care and the patient-centered medical home attributes provided at federally supported health centers in both rural and urban locations.
Author(s): Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, et al.
Location: Annals of Family Medicine, 11(6), 508-516
Date: 11/2013
Type: Document
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Removing Barriers to Care: Community Health Centers in Rural Areas
Discusses access to care in rural areas and reports that about half (48%) of community health centers in the United States are located in rural and frontier areas. Includes information on rural community health center patients and services.
Date: 10/2013
Type: Document
Sponsoring organization: National Association of Community Health Centers
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A Medical Home Framework for Increasing Cervical Cancer Screening Rates: Best Practices for FQHCs
This document features lessons and best practices from 14 FQHCs selected across seven states with leading rates for cervical cancer screening. It specifically incorporates the rural perspective and offers a case study from rural Maine.
Author(s): Christina Miller, Mary Takach
Date: 08/2013
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Essential Guides to Sustainability, Succession and Transition Planning
Provides training and technical assistance to both rural and urban health centers on the importance of leadership succession planning. Includes discussion on the engagement of board and staff in small organizations. Document composed of three guides: 1) Organizational Sustainability Planning; 2) Executive Succession Planning; and 3) Executive Transition Management.
Date: 08/2013
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Needs-Based Method for Estimating the Behavioral Health Staff Needs of Community Health Centers
Discusses the estimated number of full time behavioral health providers needed to serve the health centers’ growing patient population in rural and urban areas.
Author(s): Bridget Teevan Burke, Benjamin F Miller, Michelle Proser, et al.
Location: BMC Health Services Research, 13, 245
Date: 07/2013
Type: Document
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Health Centers’ Role in Reducing Health Disparities Among Asian Americans, Native Hawaiians, and other Pacific Islanders
Describes the disparities among Asian American, Native Hawaiian, and other Pacific Islanders in rural and urban communities and how health centers overcome them.
Date: 05/2013
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Practice Based Versus Telemedicine Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial
Reports on a research trial comparing practice-based collaborative primary care for depression involving mental health providers on-site to telemedicine-based collaborative primary care with off-site mental health providers.
Author(s): John C. Fortney, Jeffrey M. Pyne, Sip B. Mouden, et al.
Location: American Journal of Psychiatry, 170(4), 414-25
Date: 04/2013
Type: Document
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Community Health Centers in an Era of Health Reform: An Overview and Key Challenges to Health Center Growth, Executive Summary
An overview of health centers that discusses recent developments expected to have a significant impact on health center growth in both urban and rural areas.
Date: 03/2013
Type: Document
Sponsoring organization: Kaiser Commission on Medicaid and the Uninsured
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Increasing Access to Behavioral Health Care Through Technology
Presents insights on establishing a telebehavioral health program shared at a meeting convened by the U.S. Department of Health and Human Services (HHS) and the Health Resources and Services Administration’s (HRSA) Office of Special Health Affairs with participants from HRSA-funded health centers in urban and rural areas.
Date: 02/2013
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Quality Improvement, Collaboration, and Training
Summaries of innovative programs occurring in rural areas, featuring a medical home model, a Lean/Six Sigma hospital program, a community health center telehealth program, and a statewide behavioral health network.
Date: 2013
Type: Document
Sponsoring organization: National Rural Health Association
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Assessing Community Health Center (CHC) Assets and Capabilities for Recruiting Physicians: The CHC Community Apgar Questionnaire
Describes the evaluation instrument, CHC Community Apgar Questionnaire (CHC CAQ), developed for Idaho CHCs to use in physician recruitment with a focus on rural areas.
Author(s): Edward Baker, David Schmitz, Sean Wasden, Lisa MacKenzie
Location: Rural and Remote Health, 12, 2179
Date: 12/2012
Type: Document
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Status of PPS Implementation in the Children's Health Insurance Program, State Policy Report #42
Reviews the progress achieved since the implementation of the Children’s Health Insurance Program (CHIP) prospective payment system (PPS) for federally qualified health centers and rural health centers. Highlights current efforts at the state level to implement CHIP PPS.
Author(s): Dawn McKinney, Asha Cesar, Adam Sampiev
Date: 11/2012
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Health Risk Behaviors in Insured and Uninsured Community Health Center Patients in the Rural US South
Examines the most common risk-taking behaviors of rural patients of Federally Qualified Health Centers and if risk-taking behaviors vary between insured and uninsured patients.
Author(s): K. Bryant Smalley, Jacob Warren, Jeffrey Klibert
Location: Rural and Remote Health, 12, 2123
Date: 10/2012
Type: Document
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Community Health Centers Leveraging the Social Determinants of Health
Provides an overview of how community health centers (CHCs) are working to address the social, economic, and physical conditions that impact their patients' health. Presents 10 case studies, including several rural examples, of CHCs addressing the social determinants of health.
Date: 03/2012
Type: Document
Sponsoring organization: Institute for Alternative Futures
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Medicare Shared Savings Program: Accountable Care Organizations, Final Rule
Summarizes segments of the rule on Medicare Accountable Care Organizations (ACOs) as they affect family practitioners in small and medium-sized practices, including Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs).
Date: 11/2011
Type: Document
Sponsoring organization: American Academy of Family Physicians
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Community Health Centers and the Economy: Assessing Centers’ Role in Immediate Job Creation Efforts
Examines the potential economic benefit, including job creation opportunities, in rural and urban communities resulting from investments in community health centers.
Author(s): Sara Rosenbaum, Peter Shin
Date: 09/2011
Type: Document
Sponsoring organization: George Washington University Department of Health Policy and Management
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So You Want to Start a Health Center...?
Provides guidance for planning and implementing a new health center that meets Section 330 of the U.S. Public Health Service Act requirements. Includes instructions and links to tools that can be helpful when applying for federal funding and health center status.
Author(s): Pamela Byrnes, Jaime Hirschfeld
Date: 07/2011
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Collaboration with Rural Community Health Centers VISN 5, Task 4: Final Report
Outlines the steps involved in implementing a pilot project that will enable community-based providers to improve coordination of care between CHCs and VHA.
Date: 06/2011
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Medicare’s Accountable Care Organization Regulations: How Will Medicare Beneficiaries who Reside in Medically Underserved Communities Fare?
Examines impact of ACO rule on medically underserved areas, including rural areas, and Federally Qualified Health Centers (FQHCs).
Author(s): Sara Rosenbaum, Peter Shin
Date: 04/2011
Type: Document
Sponsoring organization: George Washington University Department of Health Policy and Management
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Collaboration and Federally Qualified Health Centers (FQHC)
Provides non-FQHC health care providers, including RHCs and CAHs, with an understanding of what is motivating FQHCs to expand the number of service sites and provide non-FQHC reimbursed services, such as laboratory and other diagnostic services.
Date: 03/2011
Type: Document
Sponsoring organization: Stroudwater Associates
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Telehealth in Community Clinics: Three Case Studies in Implementation
Highlights the experience and lessons learned of three community health centers in rural and urban settings as they planned and implemented their telehealth programs.
Author(s): Christine Duclos, Julie M. Hook, Michael P. Rodriguez
Date: 11/2010
Type: Document
Sponsoring organization: California Health Care Foundation
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The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A First Look
Summarizes six issue areas of the Affordable Care Act (ACA) and discusses implications for access to services and improving the health status of rural residents. These issue areas are: health insurance coverage; Medicare and Medicaid payment; quality, financing, and delivery system reform; public health; healthcare workforce; and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, Timothy D. McBride, Keith J. Mueller
Date: 09/2010
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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The Importance of Community Health Centers: Engines of Economic Activity and Job Creation
Examines the role of community health centers and their potential to deliver jobs and economic growth in rural and urban communities.
Author(s): Ellen-Marie Whelan
Date: 08/2010
Type: Document
Sponsoring organization: Center for American Progress
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A Manual on Effective Collaboration Between Critical Access Hospitals and Federally Qualified Health Centers
Highlights how through cooperation and collaboration, CAHs and FQHCs, especially those near each other and serving similar communities, can meet community needs, enhance roles, and stabilize and expand needed services and rural delivery systems.
Date: 04/2010
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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A National Survey of Health Information Technology (HIT) Adoption in Federally Qualified Health Centers
The purpose of this survey was to determine the extent to which health centers, rural and urban, have adopted health information technology and telemedicine, identify the major vendors utilized by health centers, and determine the extent to which health centers have integrated behavioral health and/or oral health electronic records with medical health records.
Author(s): Michael R. Lardiere
Date: 05/2009
Type: Document
Sponsoring organization: National Association of Community Health Centers
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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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ICD-10 Toolkit
Provides guidance and assistance to rural healthcare providers in making the transition from ICD-9 to ICD-10. This toolkit is designed to be used in conjunction with any coder or physician training that a rural hospital or clinic may be doing.
Type: Tool
Sponsoring organization: National Rural Health Resource Center
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HRSA Health Center and Look-Alike Site Directory
Allows users to search and generate a report identifying Federally Qualified Health Centers (FQHCs) and FQHC Look-Alikes by state.
Type: Directory
Sponsoring organization: Health Resources and Services Administration
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Health Professional Shortage Area (HPSA) Application and Scoring Process
Provides Health Professional Shortage Area designations based on general HPSA designation criteria, plus additional criteria and guidelines specific to each of the three types of designations: primary care, dental and mental health.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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Find Shortage Areas: HPSA & MUA/P by Address
Searchable tool for identifying Health Professional Shortage Areas (HPSAs), Medically Underserved Areas/Populations (MUA/P) by address.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide
Describes the information FQHCs are required to submit for a Prospective Payment System (PPS), and it explains how RHCs should bill for certain preventive services under the Affordable Care Act.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Federally Qualified Health Center: Rural Health Fact Sheet Series
Provides a general overview of FQHCs and includes a list of helpful rural health resources and websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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RHC & FQHC Program Comparison
A chart that provides a comparison between the Rural Health Clinic (RHC) program and the Federally Qualified Health Center (FQHC) program.
Type: Document
Sponsoring organization: National Association of Rural Health Clinics
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Economic Impact: Tools and Templates
Access tools and templates for studying the economic impact, in rural areas, of FQHCs, Critical Access Hospitals, different health care providers, the social service sector, Medicaid, medical schools, and telemedicine.
Type: Website
Sponsoring organization: National Center for Rural Health Works
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Health Care Service Delivery and Look-Alike Sites Data Download
Downloadable file contains current raw data and documentation about HRSA’s Federally Qualified Health Centers (FQHCs) and Federally Qualified Health Center Look-Alikes.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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Federal Tort Claims Act
Information on the application and reporting processes for HRSA-supported health centers with malpractice insurance through the Federal Tort Claims Act.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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UDS Mapper
Illustrates the geographic reach, penetration, and growth of the Section 330-funded health center program and its relationship to other federally-linked health resources, including rural health clinics and National Health Service Corps sites.
Type: Map/Mapping System
Sponsoring organization: Robert Graham Center
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SAMHSA-HRSA Center for Integrated Health Solutions
Promotes the development of integrated primary and behavioral health services to better address the needs of individuals with mental health and substance use conditions, whether seen in specialty behavioral health or primary care provider settings. Includes resources to address integrated care in rural settings.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Chronicles Project: The Community Health Center Story
Presents the history of community health centers in rural and underserved areas with health centers telling their stories.
Type: Website
Sponsoring organization: RCHN Community Health Foundation
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Regional Migrant Health Coordinators and Special Populations Points-of-Contact
Directory of coordinators who serve as points of contact for migratory and seasonal agricultural workers, people experiencing homelessness, and residents of public housing. Coordinators are located at state Primary Care Associations.
Type: Directory
Sponsoring organization: National Center for Farmworker Health
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PubMed Search: Federally Qualified Health Centers
Searches PubMed's collection of journal article citations on the topic of Federally Qualified Health Centers (FQHCs).
Type: Literature Search
Sponsoring organization: National Library of Medicine
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Health Center Program Requirements
A summary of the key health center program requirements, along with links to relevant regulations.
Type: Website
Sponsoring organization: Bureau of Primary Health Care
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Key Community Health Center Data by State
Provides national and state-level data on Federally Qualified Health Centers' patients, services provided, staff, patient visits, and costs of care. Includes an interactive map for accessing state fact sheets.
Type: Website
Sponsoring organization: National Association of Community Health Centers
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CMS Medicare Administrative Contractors
Provides information and resources concerning the Part A/Part B Medicare Administrative Contractors (MACs).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Center Program Look-Alikes
Information on the Federally Qualified Health Centers Look-Alike program, including eligibility, program requirements, how to apply, and contacts for more information.
Type: Website
Sponsoring organization: Bureau of Primary Health Care
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CMS Federally Qualified Health Centers (FQHC) Center
Provides links to manuals, billing codes, enrollment and certification information, legislation, regulations, and contacts related to Medicare and Medicaid services in Federally Qualified Health Centers.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Developing and Implementing a Discount Fee Schedule
Basic information for clinics and health centers about developing and implementing a sliding fee schedule for low-income populations.
Type: Website
Sponsoring organization: National Health Service Corps
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State Primary Care Offices Directory
Primary Care Offices (PCOs) represent the needs of the underserved populations and the providers who serve them. These offices can provide designation application help and State shortage information as well as information on the Conrad 30 J-1 Visa Waiver program, loan repayment programs, and recruitment and retention.
Type: Directory
Sponsoring organization: Bureau of Health Workforce
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State and Regional Primary Care Associations Directory
Lists address, phone, email, and web addresses for state and regional Primary Care Associations (PCAs). PCAs work to promote, expand, and optimize access to primary care.
Type: Directory
Sponsoring organization: National Association of Community Health Centers
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Public Health Service Act, Section 330
Section 330 of the Public Health Service (PHS) Act defines the requirements for Health Centers. Title 42 of the U.S. Code, Chapter 6A is the Public Health Service Act, and section 254b is the equivalent of Section 330 of the PHS Act.
Type: Document
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Health Center Program Policies: Policy Information Notices & Program Assistance Letters
Links to current Bureau of Primary Health Care Program Information Notices (PINs) and Program Assistance Letters (PALs).
Type: Website
Sponsoring organization: Bureau of Primary Health Care
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Find a Health Center
Allows users to search for community health centers, including Federally Qualified Health Centers and other Bureau of Primary Health Care service delivery sites, by location. These health centers provide free and low-cost health services such as: primary medical, obstetrical and gynecological, dental, mental health and substance abuse care.
Type: Directory
Sponsoring organization: Bureau of Primary Health Care
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MUA Find
Search for Medically Underserved Areas and Populations (MUAs/MUPs). Allows searching by state, county, or ID number. Includes designation status and date.
Type: Database
Sponsoring organization: Health Resources and Services Administration
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 9/12/2017