100-02 Medicare Benefit Policy Manual: Chapter 13 Crosswalk

Medicare Benefit Policy Manual
Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Crosswalk
New
Chap.
New
Sect.
Int.
Pub. 13
Carrier
Pub. 14
RHC
Pub. 27
PMs 	Other 	Description
13 	10 	A3-3642,
A3-3192.2
Rural Health Clinics (RHCs) Defined
13 	20 	A3-3643 	RHC-400 	Federally Qualified Health Centers (FQHCs) Defined
13 	30 	RHC-500 	Rural Health Clinic and Federally Qualified Health Center
Service Defined
13 	30.1 	A3-3191.1 	B3-2260.1 	RHC-400A,
RHC-401
RHC Services
13 	30.2 	RHC-400B 	FQHC Services
13 	30.3 	A3-3191.2 	B3-2260.2 	RHC-401,
RHC-402
PM A-00-30 	Services Furnished By Clinics Which Are Not
RHC/FQHC Services
13 	30.4 	A-00-30 	RHC/FQHC Services for Hospital/SNF Outpatients or
Inpatients
13 	40 	RHC-404 	Preventive Primary Services Which Are Federally
Qualified Health Center Services
13 	40.1 	A3-3192.1B 	RHC-404.1 	A-02-44 	FQHC Primary Preventive Services Defined
13 	40.2 	A3-3192.1C 	RHC-404.2 	Preventive Services Excluded Under FQHC Benefit

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Chap.
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Sect.
Int.
Pub. 13
Carrier
Pub. 14
RHC
Pub. 27
PMs 	Other 	Description
13 	50 	RHC-405 	Physician Services
13 	50.1 	RHC-405.1 	Definition of Physician Service
13 	50.2 	RHC-405.2 	Telephone Services
13 	50.3 	RHC-405.3 	Prescription Services
13 	50.4 	RHC-405.6 	Physician Services That Are RHC/FQHC Services
13 	50.4.1 	RHC-405.6A 	Physician Services at the Clinic or Center
13 	50.4.2 	RHC-405.6B 	Physician Services Away From the Clinic or Center
13 	50.5 	RHC-405.7 	Consultations
13 	50.6 	RHC-405.8 	Concurrent Care
13 	60 	RHC-406 	PM A-01-49 	Services And Supplies Furnished Incident to Physician's
Services
13 	60.1 	RHC-406.1 	Incidental and Integral Part of Physician's Professional
Services
13 	60.2 	RHC-406.2 	Commonly Furnished in Physician's Office
13 	60.3 	RHC-406.3 	Direct Personal Supervision
13 	60.4 	RHC-406.4 	Clinic or Center Employee
13 	60.5 	RHC-406.5 	Clinic or Center Expense

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Sect.
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Pub. 13
Carrier
Pub. 14
RHC
Pub. 27
PMs 	Other 	Description
13 	60.6 	RHC-406.6 	Incident to Physician's Services in Physician-Directed
RHC or FQHC
13 	60.7 	RHC-406.7 	PM-A-01-49 	Coverage of Services and Supplies
13 	70 	RHC-408 	Nurse Practitioner And Physician Assistant Services
13 	70.1 	RHC-408.1 	Basic Requirements
13 	70.2 	RHC-408.2 	Services Covered
13 	70.3 	RHC-408.3 	Services by Nurse Practitioners, Physician Assistants,
Nurse Midwives, and Specialized Nurse Practitioners as
RHC/FQHC Services
13 	70.3.1 	RHC-408.3A 	Services at the Clinic or Center
13 	70.3.2 	RHC-408.3B 	Services Away From the Clinic or Center
13 	70.4 	RHC-408.4 	Effect of State Law
13 	70.5 	RHC-408.5 	Effect of Clinic or Center Policies
13 	70.6 	RHC-408.6 	Physician Supervision
13 	80 	RHC-410 	Services And Supplies Incident To Nurse Practitioner's Or
Physician Assistant's Services
13 	80.1 	RHC-410.1 	Basic Requirements
13 	80.2 	RHC-410.2 	Scope of Coverage

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Carrier
Pub. 14
RHC
Pub. 27
PMs 	Other 	Description
13 	80.3 	RHC-410.3 	Direct, Personal Supervision
13 	90 	RHC-412 	Conditions For Coverage Of Visiting Nurse Services
13 	90.1 	RHC-412.1 	General Requirements
13 	90.2 	RHC-412.2 	Shortage of Home Health Agencies
13 	90.3 	RHC-412.3 	A-01-21 	Services Are Furnished to Homebound Patients
13 	90.4 	RHC-412.4 	Patient's Place of Residence
13 	90.5 	RHC-412.5 	Services Furnished by Licensed Nurse
13 	90.6 	RHC-412.6 	Services Furnished Under Plan of Treatment
13 	100 	RHC-419.1 	Clinical Psychologist Services
13 	100.1 	RHC-419.1A 	Clinical Psychologist (CP) Defined
13 	100.2 	RHC-419.1B 	Qualified Clinical Psychologist Services Defined
13 	100.3 	RHC-419.1C 	Types of Covered Clinical Psychologist Services
13 	100.4 	RHC-419.1D,
RHC-419.2D
Noncovered CP Services
13 	100.5 	RHC-419.1E,
RHC-419.2E
Requirement for Consultation

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Chap.
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Sect.
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Pub. 13
Carrier
Pub. 14
RHC
Pub. 27
PMs 	Other 	Description
13 	100.6 	RHC-419.1F 	Outpatient Mental Health Services Limitation for CP
Services
13 	100.7 	RHC-419.1G 	CP Services at the Clinic or Center
13 	100.8 	RHC-419.1H 	CP Services Away From the Clinic or Center
13 	110 	RHC-419.2 	Clinical Social Worker (CSW) Services
13 	110.1 	RHC-419.2A 	Clinical Social Worker Defined
13 	110.2 	RHC-419.2B 	Clinical Social Worker Services Defined
13 	110.3 	RHC-419.2C 	Covered CSW Services
13 	110.4 	Noncovered CSW Services
13 	110.5 	Outpatient Mental Health Services Limitation
13 	110.6 	RHC-419.2F 	Services at the Clinic or Center
13 	110.7 	RHC-419.2G 	Services Away From the Clinic or Center