Skip to main content
U.S. flag

An official website of the United States government

Return to Search

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.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 29, 2018

HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.