Section He-W 537.01 - Definitions(a) "Encounter code" means a procedure code assigned to each provider by the medicaid administration bureau which reflects the individual payment rate and is utilized by the rural health clinic and federally qualified health center service providers for billing purposes.(b) "Federally qualified health center (FQHC) " means "federally qualified health center" as described in 42 CFR 491, Subpart A, which is located in a rural or urban area that is designated as either a shortage area or an area that has a medically underserved population.(c) "Hospital based rural health clinic" means "rural health clinic" as described in 42 CFR 491, Subpart A, which is an integral part of a hospital that is participating in medicare, and is licensed, governed, and supervised with other departments of the hospital.(d) "Independent rural health clinic" means "rural health clinic" as described in 42 CFR 491, Subpart A, which is a freestanding facility not administered by another facility.(e) "Medically underserved population" means a population of an urban or rural area which ahs a shortage of personal health services as described in 42 CFR 491, Subpart A.(f) "Rural health clinic (RHC)," means a primary care facility or agency, either independent or hospital based, which is not a rehabilitation agency nor a facility primarily for the care and treatment of mental diseases and which is certified by medicare pursuant to 42 CFR 491, Subpart A.(g) "Shortage area" means "shortage area" as defined by 1302(7) of the Public Health Services Act.(h) "Visit" means a face-to-face encounter which takes place on a single day, at a single location, between a recipient and a health professional in a rural health clinic or FQHC.N.H. Admin. Code § He-W 537.01
(See Revision Note at chapter heading He-W 500); ss by #4884, eff 8-1-90, EXPIRED: 8-1-96
New. #6725, eff 4-1-98, EXPIRED: 4-1-06