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Medicare Benefit Policy Manual, Chapter 13 Updated

Medicare Benefit Policy Manual Update
2017 Update to Chapter 13 for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)


CMS released MLN Matters® Article MM9864, effective March 9, 2017, the update of the Medicare Benefits Policy Manual, Chapter 13.

Chapter 13 provides information on requirements and payment policies for RHCs and FQHCs, as authorized by Section 1861(aa) of the Social Security Act. The Centers for Medicare & Medicaid Services (CMS) as revised Chapter 13 to include that beginning January 1, 2017, the FQHC PPS base rate will be updated by the FQHC Market Basket, and that services furnished by auxiliary personnel incident to a transitional care management (TCM) or chronic care management (CCM) visit may be furnished under general supervision instead of direct supervision, as finalized in the CY 2017 Physician Fee Schedule Final Rule. All other revisions serve to clarify existing policy. 

Additional information:  CMS Transmittal 230