Today, the Centers for Medicare and Medicaid Services (CMS) released
an informational bulletin that extends the grace period previously granted
to Indian Health Service (IHS) facilities, and facilities operated by
Tribes and Tribal organizations under the Indian Self-Determination and
Education Assistance Act (ISDEAA), which permits IHS/Tribal facilities to
claim Medicaid reimbursement under the clinic services benefit at 42
C.F.R. § 440.90 (including at the IHS All Inclusive Rate (AIR)) for
services provided outside of the “four walls” of the
facility. Extension of the grace period will allow states and
Tribes to continue the work needed to make an informed decision about the
Tribal FQHC option described in a January 15, 2021 Informational Bulletin
and take steps to effectuate that option.
The bulletin released today extends the grace period to end nine
months after the end of the COVID-19 public health
emergency.
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