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These violations occurred during inspections taking place within only a five-month period (October 2023 to February 2024)

To align the requirements and preserve access to primary care services in rural areas, we are proposing to add standards to 491.9(a)(2) explicitly requiring RHCs and FQHCs to provide primary care services (at 491.9(a)(2)(i)) and explicitly noting that RHCs cannot be a rehabilitation agency or a facility which is primarily for the care and treatment of mental diseases (at 491.9(a)(2)(ii))

Jain A, Chandurkar KP, Umale V, Srivastava R

Clinical Staff Compensation includes any health-related clinical staff who do not fall under the definition of a FQHC Practitioner

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Although change can feel uncertain , smoke rises upward