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Rural Health Open Door Forum


The Rural Health Open Door Forum (ODF) addresses Rural Health Clinic (RHC), Critical Access Hospital (CAH) and Federally Qualified Health Center (FQHC) issues, as well as some inclusion of other questions and concerns that occur in clinical practice pertaining to other CMS payment systems that also extend into these settings. Topics that frequently arise on this forum often deal with payment & billing for services subject to Health Professional Shortage Area (HPSA) and/or Physician Shortage Area (PSA) status, cost report clarifications, classifications for & qualifications of rural provider types, and the many special provisions being implemented for improving rural health in the Medicare Modernization Act of 2003. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the Forums.


**Updated: September 27, 2019 - The proposed agenda for the next Rural Health Open Door Forum is scheduled for Thursday, October 3, 2019, at 2:00 pm is as follows: Announcements & Updates; *CMS-6058-FC Medicare, Medicaid, and Children's Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process; Revised Rural Health Clinic guidance updating emergency medicine requirements; State Operations Manual Chapter 2 Updates – Critical Access Hospitals adding a provider-based location; QSO Memo 19-16-CAH released August 8, 2019:; Office of Inspector General Report - OEI-05-12-00080 released August 19, 2013:; S&C Memo 16-08-CAH released February 12, 2016 and revised September 2, 2016:; Critical Access Hospital State Operations Manual (SOM) Appendix W:; SOM Chapter 2: If you wish to participate, dial 1-888-455-1397 Conference ID: 4676500. Please see the full participation announcement in the Downloads section below. Thank you for your continued interest in the CMS Open Door Forums.

**Updated: August 23, 2019 - Special Open Door Forum (SODF), Developing a Hospice Patient Assessment Tool, now called Hospice Outcomes & Patient Evaluation (HOPE) Tool---Status Update, Thursday, September 12, 2019 from 2:00pm – 3:00pm Eastern Time. The purpose of this SODF is to allow hospices and other interested parties to ask questions on the development of a Hospice Outcomes & Patient Evaluation (HOPE) Tool. This SODF is part of a series of regular SODF’s CMS plans to host on this patient assessment tool and other key topics related to the Hospice Quality Reporting Program. The purpose of a HOPE Tool is to develop outcome and other quality measures that relate to the care needs of people through the dying process and to ensure the safety and comfort of individuals enrolled in hospice institutions nationwide. The SODF will provide a status update and welcomes your questions. You can learn about the hospice assessment tool by going to: Feedback and questions on the hospice assessment tool can be sent to: If you wish to participate, dial: 1-888-455-1397 & Conference ID: 4676500. We look forward to your participation. Please see the Downloads section below for the full call announcement. Thank you for your continued interest in the CMS Open Door Forums.

**Updated Agenda: August 28, 2018 - Special Open Door Forum (SODF): Open Payments Expansion under the SUPPORT Act, Thursday August 29, 2019, 2018 from 2:00pm -3:00pm Eastern Time. This SODF on the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act) impact on the Open Payments program. Open Payments is a national disclosure program that promotes a more transparent and accountable health care system by publishing the financial relationships between applicable manufactures and group purchasing organizations (GPOs) and health care providers (physicians and teaching hospitals). The provisions in the SUPPORT Act that impact Open Payments are a rider on the 2020 Physician Fee Schedule. CMS is formally soliciting feedback via comments on the Physician Fee Schedule, which is available through September 27, 2019. This call is intended for the providers impacted by the expanded definition and will provide an opportunity to learn about Open Payments, how the expansion directly affects them, and their role within the Open Payments program. Further information about the Open Payments program and the proposed changes are available on the CMS Open Payments website. The presentation for this call is available on the Open Payments Events Page. The URL link to the events page in the announcement: If you wish to participate, dial: 1-888-455-1397& Conference ID: 6609831. Please see the Downloads section below for the full call announcement. We look forward to your participation. Thank you for your continued interest in the CMS Open Door Forums.