CMS SOM App. G, Tag J-0023

§ 491.5(a)(3) . . . the RHC . . . may be permanent or mobile units.

(iii) Permanent unit in more than one location. If clinic . . . services are

furnished at permanent units in more than one location, each unit is

independently considered for approval as a rural health clinic . . .

Interpretive Guidelines § 491.5(a)(3)(iii)

A Medicare-certified RHC is not permitted to have more than one permanent unit, i.e., it

may not operate out of permanent structures in more than one location. Location is

identified as the physical address where medical services are provided. If an organization

owns several facilities operating out of permanent units at different locations; that it seeks

to enroll in Medicare in order to provide RHC services in each facility, it must enroll

each permanent unit separately, and each must independently and fully comply with the

RHC CfCs. If one RHC occupies several suites within the same building, sharing the

same address, it is considered to have only one permanent unit. It is also possible for

separate RHCs to occupy different suites in the same building; when this occurs, each

RHC must independently meet the RHC CfCs, and cannot co-mingle their services.

Survey Procedures § 491.5(a)(3)(iii)

• If the RHC has a webpage, check to see if the RHC holds itself out to the public as

having multiple permanent locations.

• Ask RHC staff members whether the RHC has any other locations, other than mobile

units.