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Federal forms, ICRs, and supporting documents

OMB control number

Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR Part 491 (CMS-R-38)

OMB 0938-0334 · HHS/CMS.

OMB 0938-0334

This information is needed to determine if rural health clinics and federally qualified health centers meet the requirements to participate in the Medicare Program.

The latest form for Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR Part 491 (CMS-R-38) expires 2027-12-31 and is listed under ICR 202410-0938-009.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
CMS-R-38 - Supporting Statement A (CMS-1784-F version 8).docxSupporting Statement A
CMS-R-38 - Supporting Statement A (CMS-1784-F version 8).docxSupporting Statement A
491.9(b) Patient Care Policies - New RHCs Information collection
491.9(b) Patient Care Policies - Existing RHCs Information collection
Conduct biennial program evaluation (§ 491.11) Information collection
Initial development of program evaluation (§ 491.11) Information collection
Permitting MFT and MHCs to Furnish Services in RHC/FQHCs (§ 491.9(b)) Information collection
Biennial review of existing policies for every Medicare-certified clinic/center (§ 491.9(b)) Information collection
Initial policy development for a new clinic or center (§ 491.9(b)) Information collection
491.11 - Program Evaluation - Existing FHQCs Information collection
491.11 - Program Evaluation - New FQHCs Information collection
491.9(b) - Patient Care Policies - Existing FQHCs Information collection
491.9(b) Patient Care Policies - New FQHCs Information collection
491.11 Program Evaluation - Existing RHCs Information collection
491.11 - Program Evaluation - New RHCs Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202410-0938-009 Revision of a currently approved collection 2024-10-07
202408-0938-016 Revision of a currently approved collection 2024-08-16
202406-0938-005 Reinstatement without change of a previously approved collection 2024-06-12 Approved without change
202002-0938-011 Revision of a currently approved collection 2020-02-21 Approved with change
201810-0938-010 Revision of a currently approved collection 2018-11-07 Comment filed on proposed rule and continue
201701-0938-008 Extension without change of a currently approved collection 2017-01-31 Approved with change
201309-0938-024 Reinstatement with change of a previously approved collection 2013-09-19 Approved without change
200909-0938-005 Extension without change of a currently approved collection 2009-09-17 Approved without change
200609-0938-007 Extension without change of a currently approved collection 2006-09-26 Approved without change
200306-0938-009 Extension without change of a currently approved collection 2003-06-19 Approved with change
200002-0938-003 Extension without change of a currently approved collection 2000-02-10 Approved without change
199702-0938-005 Extension without change of a currently approved collection 1997-02-24 Approved without change
199403-0938-002 Reinstatement with change of a previously approved collection 1994-03-17 Approved without change
199401-0938-009 No material or nonsubstantive change to a currently approved collection 1994-01-03 Approved with change
199207-0938-006 Reinstatement with change of a previously approved collection 1992-07-31 Approved without change
198904-0938-042 No material or nonsubstantive change to a currently approved collection 1989-04-18 Approved with change
198904-0938-003 Revision of a currently approved collection 1989-04-24 Approved without change
198602-0938-002 Reinstatement with change of a previously approved collection 1986-02-12 Approved without change
198406-0938-013 Revision of a currently approved collection 1984-06-28 Approved without change
198312-0938-006 New collection (Request for a new OMB Control Number) 1983-12-07 Approved without change

OMB Details

491.9(b) Patient Care Policies - New RHCs

Federal Enterprise Architecture: Health - Health Care Services