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Federally Qualified Health Center (FQHC) Medicare Enrollment Guidance Updated
Memo #
Posting Date
Fiscal Year
Updated Guidance on FQHC Medicare Enrollment Requirements & Effective Date: • Various portions of Section 2826 of the SOM are being revised to streamline the process for initial issuance of a Medicare FQHC participation agreement. Revisions: o Reduce the number of documents the Medicare Administrative Contractor (MAC) must forward to the Centers for Medicare & Medicaid Services (CMS) Regional Office (RO) along with the MAC letter recommending approval; o Clarify that it is the responsibility of the FQHC to understand whether or not it requires a Clinical Laboratory Improvement Act (CLIA) certificate when it attests to its compliance with FQHC regulatory requirements; the RO does not make a separate determination on this. o Clarify that the effective date of the Medicare FQHC agreement is the date on which the MAC determined that the FQHC application was complete. • Exhibit 177 is being revised to include instructions to the applicant and add space for the applicant’s address and a “doing business as” name, if applicable. • Exhibit 179 is being revised to track the changes in Section 2826.