Clinic Payment Methodology
Guidance for : This guidance applies to states that cover and pay for clinic services under the state plan authority utilizing a fee-for-service (FFS) payment methodology. Overview of Clinic Services Clinic services at Section 1905(a)(9) of the Social Security Act (Act) are defined at 42 Code of Federal Regulations (CFR) 440.90 to include preventive, diagnostic, therapeutic, rehabilitative, or palliative services that are furnished by a facility that is not part of a hospital but is organized and operated to provide medical care to outpatients.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 29, 2018
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