[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2005] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR491.1] [Page 962] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PART 491_CERTIFICATION OF CERTAIN HEALTH FACILITIES--Table of Contents Subpart A_Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage Sec. 491.1 Purpose and scope. Subpart A_Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage Sec. 491.1 Purpose and scope. 491.2 Definitions and shortage area for RHC purposes. 491.3 RHC procedures. 491.4 Compliance with Federal, State and local laws. 491.5 Location of clinic. 491.6 Physical plant and environment. 491.7 Organizational structure. 491.8 Staffing and staff responsibilities. 491.9 Provision of services. 491.10 Patient health records. 491.11 Quality assessment and performance improvement. Authority: Sec. 1102 of the Social Security Act (42 U.S.C. 1302); and sec. 353 of the Public Health Service Act (42 U.S.C. 263a). Editorial Note: Nomenclature changes to part 491 appear at 61 FR 14658, Apr. 3, 1996. This subpart sets forth the conditions that rural health clinics or FQHCs must meet in order to qualify for reimbursement under Medicare (title XVIII of the Social Security Act) and that rural health clinics must meet in order to qualify for reimbursement under Medicaid (title XIX of the Act). [57 FR 24982, June 12, 1992]