* Implement a statutory requirement that RHCs establish a QAPI program to help these clinics identify and implement opportunities for improvement, including preventing the transmission of infectious and communicable diseases and ensuring the accuracy of patient health records.
"With the regulation we are proposing today, these providers will have better guidance on how to qualify as a rural health clinic," said Weems. "Medicare will be better able to ensure that qualified rural clinics are able to seek cost-based payment under the RHC program."
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Many changes in the proposed rule, such as revisions to the payment methodology, would also apply to federally qualified health centers (FQHCs). FQHCs are similar in many respects to RHCs but may operate in urban or rural underserved areas. A CMS fact sheet provides more information on the proposed rule, including provisions that uniquely apply to FQHCs. The fact sheet may be viewed at http://www.cms.hhs.gov/apps/media/fact_sheets.asp.
The proposed regulation may be viewed at http://federalregister.gov/OFRUpload/OFRData/2008-13280_PI.pdf . Comments must be submitted by 5:00 p.m. Eastern time on August 27, 2008.
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