# Medicare Program; Prospective Payment System for Federally Qualified Health Centers; Changes to Contracting Policies for Rural Health Clinics; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral
> **Centers for Medicare and Medicaid Services** · Final rule with comment period. · Published 2014-05-02 · 79 FR 25436
## Document
- **Document number:** 2014-09908
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 79 FR 25436
- **CFR reference:** 42 CFR 405
- **Publication date:** 2014-05-02
- **HHS docket:** CMS-1443-FC
## Abstract

This final rule with comment period implements methodology and payment rates for a prospective payment system (PPS) for federally qualified health center (FQHC) services under Medicare Part B beginning on October 1, 2014, in compliance with the statutory requirement of the Affordable Care Act. In addition, it establishes a policy which allows rural health clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and makes other technical and conforming changes to the RHC and FQHC regulations. Finally, this final rule with comment period implements changes to the Clinical Laboratory Improvement Amendments (CLIA) regulations regarding enforcement actions for proficiency testing (PT) referrals.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2014/05/02/2014-09908/medicare-program-prospective-payment-system-for-federally-qualified-health-centers-changes-to)
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