Federally Qualified Health Centers (FQHC) Center
Spotlights
- Vaccination is the Best Protection Against the Flu [PDF, 333KB]
- SE1039 – Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide
- Do you want to find out Medicare Fee-for-Service information quickly? Subscribe to a CMS Electronic Mailing Lists: Keeping Medicare Fee-For-Service Providers Informed [PDF, 410KB] , such as the FQHC listserv, that suits your needs!
Medicare Learning Network (MLN) Spotlights
Go to the page for the latest MLN products and announcements! Check it often!
Important Links
Billing / Payment
Policies/Regulations
Enrollment/ Participation/ Certification
- Medicare Provider-Supplier Enrollment
- Enrollment Applications
- Conditions for Coverage (CfCs) & Conditions of Participations (CoPs)
- CfC and CoP: Rural Health Clinic/Federally Qualified Health Center
- Survey & Certification - General Information
- National Provider Identifier Standard (NPI)
Medicare Secondary Payer
- Medicare Secondary Payer & You
- Internet-Only Manuals (IOMs)
- Coordination of Benefits - General Information
Education
How to Stay Informed
- Join the mailing list (or listserv).
- Open Door Forums
Helpful Links
CMS Manuals & Transmittals
- Manuals
- Internet-Only Manuals (IOMs)
- Transmittals
- Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers [PDF, 215KB]
- Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services [PDF, 155KB]
- The Medicare Rural Health Clinic and Federally Qualified Health Center Manual Paper-Based Manual
- State Medicaid Manual: Payment for Services: State Plan Amendments (pages 6-51)
- Provider Reimbursement Manual: Chapter 29-(T10) -- Independent Rural Health Clinic and Freestanding Federally Qualified Health Center cost Report Form CMS 222-92 (Instructions) [ZIP, 172KB] Paper-Based Manual
- 100-05 Medicare Secondary Payer Manual
- National Coverage Determinations (NCD) Manual - Pub. 100-03
- To receive changes to the CMS Quarterly Provider Update, subscribe to the CMS-QPU Listserv from the CMS Mailing Lists Page.
Coding
- HCPCS - General Information
- Alpha-Numeric HCPCS
- ICD-9-CM
- New, Deleted, and Revised ICD-9-CM Codes - Summary Tables
Coverage
Medical Review/ Fraud & Abuse
- Beneficiary Complaint Response Program
- Physician Self Referral
Resources
- Critical Access Hospitals Center
- Therapy Services
- Partnering with CMS Center
- Rural Health Clinics Center
- Telehealth
Medicare Fee-for-Service Part B Drugs
- Competitive Acquisition for Part B Drugs & Biologicals
- Historical Part B Drug Pricing Files
- Medicare Part B Drug Average Sales Price
Publications
- MLN Products
- MLN Publications - Search for "Federally Qualified Health Center"
