Arizona Rural Health Clinic Designation Manual - Arizona Center for ...

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Table of Contents Introduction.............……………....…………………………..............…….………3 I. An Introduction to Rural Health Clinics............................................................4 A. Background Information ……......….………………...…….............4 B. Rural Health Clinics in Arizona......................................................... 7 C. Number of Rural Health Clinics in the United States.........................9 D. Frequently Asked Questions………… .....……….….......................10 E. Steps to Becoming a Certified Rural Health Clinic….......................14 II. Licensing and Certification Requirements.......................................................16 A. State Licensing…....…………………….…..........…………….......16 B. Interpretive Guidelines for Rural Health..………..........…...……....17 C. See Addendum:Regulatory Guide: RHC/FQHC Proposed Rule...…28 D. Preparing for the Certification Inspection…..……….......…............29 E. 30 Most Common RHC Survey/Certification Deficiencies...............36 F. RHC Cost Report...............................................................................39 G. Important Resources.........................................................................44 III. Appendices.......................................................................................................46 A. Important Contact Information…...........................…………..….....46 B. Definitions for Rural Health Clinic Designation................……..….49 C. Federal Primary Care HPSAs in Arizona…..........……...........….....51 D. Federal MUAs in Arizona….……………………………................54 E. Licensing Forms….………………….……………………..............56 F. Certification Forms………………………..……………...........…....69 G. Rural Health Clinic Survey Report…..............……………..............82 Cover photo taken by Alison Hughes.
Community Environment & Policy 1295 Martin Avenue Phone (520) 626-3589 PO Box 245210 FAX (520) 626-8009 Tucson, Arizona 85724 Rural Health Office Introduction This is the third version of the Arizona Rural Health Clinic Designation Manual. Since the first manual was published in 2004, ten new rural health clinics received the designation in Arizona and others have designations pending. Hopefully the popularity of the designation can be attributed to some extent on the resource value of this document, as it was distributed to all eligible clinics shortly after its first publication. The contents of this document will help rural clinics assess whether or not the Rural Health Clinic (RHC) designation is fiscally advantageous. It also provides a step-by-step guide to the application process for the designation. The document is made possible with funding support from the Arizona Rural Hospital Flexibility (Flex) Grant Program located in the Rural Health Office. Rural Health Clinics have proliferated throughout the country since 1977 when Congress passed the Rural Health Clinic Act. The purpose of the Rural Health Clinics program is to encourage and stabilize the provision of out-patient primary care in underserved rural areas through the use of physicians, nurse practitioners, physician assistants and certified nurse midwives. According to the National Association of Rural Health Clinics, there are currently over 3,000 designated RHC’s in 47 states serving over seven million people. The small number of RHCs in Arizona was in part the result of lack of information about the designation’s existence, but also in part because of the excellent work accomplished by the Arizona Association of Community Health Centers to develop a strong network of CHCs in the state. To find out more about the difference between a CHC and an RHC, please refer to the Arizona Rural Health Resource Manual published by the Arizona Rural Health Office: http://www.rho.arizona.edu/Resources/resource_manual. aspx I wish to acknowledge the work of Leila Barraza, MPH, in preparing the original document. She has dedicated many hours and commitment to its preparation that it might contribute, in some small way, to improving the health of people who live in rural and remote areas of Arizona. Alison Hughes, MPA Director, Flex Program Rural Health Office Mel and Enid Zuckerman College of Public Health August, 2008 3
Page 1: Arizona Rural Health Clinic Designa
Page 5 and 6: A. Background Information (con’t)
Page 7 and 8: B. Rural Health Clinics in Arizona
Page 9 and 10: C. Number of Rural Health Clinics i
Page 11 and 12: D. Frequently Asked Questions (con
Page 13 and 14: D. Frequently Asked Questions (con
Page 15 and 16: E. Steps to Becoming a Certified Ru
Page 17 and 18: B. Interpretive Guidelines for Rura
Page 29 and 30: D. Preparing for the Certification
Page 37 and 38: 30 Most Common RHC Survey/Certifica
Page 39 and 40: F. RHC Cost Report The Medicare cos
Page 41 and 42: F. RHC Cost Report (con’t) •Wor
Page 43 and 44: F. RHC Cost Report (con’t) 11) Li
Page 45 and 46: G. Important Resources (con’t) -A
Page 47 and 48: Appendix A. Important Contact Infor
Page 49 and 50: Appendix B. Definitions for Rural H
Page 51 and 52: Appendix C. Federal Primary Care HP
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Appendix • C. Federal Primary Car
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Appendix D. Federal MUAs in Arizona
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Instructions for completing HCI App
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A. PLEASE LIST IN THE SPACE PROVIDE
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MEDICAL FACILITIES LICENSING 150 N.
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ARIZONA DEPARTMENT OF HEALTH SERVIC
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MEDICAL FACILITIES LICENSING 150 N.
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http://www.azdhs.gov/als/forms/otcs
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Appendix F. Certification Forms 1.
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3. Has successfully completed a for
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DEPARTMENT OF HEALTH AND HUMAN SERV
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DEPARTMENT OF HEALTH AND HUMAN SERV
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According to the Paperwork Reductio
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MEDICARE ENROLLMENT APPLICATION INS
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2990 (Cont.) Form CMS 222-92 03-02
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RURAL HEALTH CLINIC SURVEY REPORT F
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NAME CODE YES NO N/A EXPLANATORY ST
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