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CMS-1403-FC
December 31, 2006, shall be treated as a rural area for
purposes of making payments under the ambulance fee
schedule for air ambulance services furnished during the
period July 1, 2008 through December 31, 2009.
Accordingly, for areas that were designated rural on
December 31, 2006, and were subsequently redesignated as
urban, we have re-established the “rural” indicator on the
zip code file for air ambulance services effective
July 1, 2008. We are revising §414.610 to add a new
paragraph (h) to conform the regulations to this statutory
requirement. This statutory requirement is
self-implementing. A plain reading of the statute requires
only a ministerial application of a rural indicator, and
does not require any substantive exercise of discretion on
the part of the Secretary.
M. Section 149: Adding Certain Entities as Originating
Sites for Payment of Telehealth Services
Section 1834(m)(4)(C) of the Act defines a telehealth
“originating site” to mean only those sites described in
the statute at which an eligible telehealth individual is
located at the time the service is furnished via a
telecommunications system. The statute requires
originating sites to be located in an area that is
designated as a rural health professional shortage area
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