D.C. Municipal Regulations (Last Updated: September 13, 2017) |
Title 29. PUBLIC WELFARE |
Chapter 29-45. MEDICAID REIMBURSEMENT FOR FEDERALLY QUALIFIED HEALTH CENTERS |
Section 29-4510. ALLOWABLE COSTS
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For purposes of this Chapter, the following terms shall have the meanings ascribed:
Federally Qualified Health Center (FQHC) - An entity that meets the definition set forth in section 1905(1)(2)(B) of the Social Security Act (42 U.S.C. 1396d(1)(2)(B)).
Fiscal Year (FY) - The District's fiscal year.
Increase or decrease in scope of services - A change in the type, intensity, duration and/or amount of services. A change in the cost of a service, in and of itself, is not considered a change in the scope of services.
Primary care services - Those services defined in section 1842(i)(4) of the Social Security Act (42 U.S.C. 1395u(i)(4)).
Prospective rate - The rate paid for services furnished in a particular fiscal year. The rate is not dependent on actual cost experience during the same year in which the rate is in effect.
Visit - Every patient encounter in an FQHC when one or more medical services are furnished to that patient.