CMS Pub. 100-02, ch. 13, § 40.2

RHCs and FQHCs are required to post their hours of operations at or near the entrance in

a manner that clearly states the days of the week and the hours that RHC or FQHC

services are furnished, and days of the week and the hours that the building is open solely

for administrative or other purposes, if applicable. This information should be easily

readable, including by people with vision problems and people who are in wheel chairs.

Qualified services provided to an RHC or FQHC patient other than during the posted

hours of operation are considered RHC or FQHC services when the practitioner is

compensated by the RHC or FQHC for the services provided, and when the cost of the

service is included in the RHC’s cost report.

Services furnished at times other than the RHC or FQHC posted hours of operation to

Medicare beneficiaries who are RHC or FQHC patients may not be billed to Medicare

Part B if the practitioner’s compensation for these services is included in the RHC/FQHC

cost report. (See Section 100 on Commingling).

This applies to full and part time practitioners, practitioners who are employees,

practitioners working under contract to the RHC or FQHC, and practitioners who are

compensated by the RHC or FQHC under another type of arrangement. RHCs and

FQHCs should have clear policies regarding the provision of services at other times, and

include this in a practitioner’s employment agreement or contract.