Information Collection Request

Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR Part 491 (CMS-R-38)

ICR 202408-0938-016 · OMB 0938-0334 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0334 can be found here:

Forms and Documents

Document Name	Status
CMS-R-38 - Supporting Statement A (CMS-1784-F version 8).docx Supporting Statement A	2024-08-16

IC Document Collections

IC ID	Document Title	Status
7968	491.9(b) Patient Care Policies - New RHCs	Removed
45407	491.9(b) Patient Care Policies - Existing RHCs	Removed
270174	Conduct biennial program evaluation (§ 491.11)	New
270173	Initial development of program evaluation (§ 491.11)	New
270172	Permitting MFT and MHCs to Furnish Services in RHC/FQHCs (§ 491.9(b))	New
270171	Biennial review of existing policies for every Medicare-certified clinic/center (§ 491.9(b))	New
270170	Initial policy development for a new clinic or center (§ 491.9(b))	New
233902	491.11 - Program Evaluation - Existing FHQCs	Removed
233900	491.11 - Program Evaluation - New FQHCs	Removed
233897	491.9(b) - Patient Care Policies - Existing FQHCs	Removed
233896	491.9(b) Patient Care Policies - New FQHCs	Removed
190717	491.11 Program Evaluation - Existing RHCs	Removed
190716	491.11 - Program Evaluation - New RHCs	Removed

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-0334
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202406-0938-005
Agency Tracking No	CCSQ
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31