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Moreover, if this policy were to be finalized, CMS would no longer determine or enforce the standard of RHCs being primarily engaged in furnishing primary care services. [808] which has been enforced via the sub-regulatory guidance contained in the State Operations Manual Appendix GGuidance for Surveyors: Rural Health Clinics (RHCs)

This funding may also be used to contract with a community-based organization (CBO) or other external entity to pay their staff to provide direct beneficiary services

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