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Therefore, payment for pneumococcal, influenza and COVID-19 vaccines and their administration in RHCs and FQHCs is governed by the statute at Section 1833(b) of the Act, which requires payment at 100 percent of reasonable cost

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We are clarifying that when RHCs and FQHCs furnish dental services that align with the policies and operational requirements in the physician setting, we would consider those services to be a qualifying visit and the RHC would be paid at the RHC AIR methodology and the FQHC would be paid under the FQHC PPS

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The chart shows this trend across several of the regions largest car markets, alongside the US for comparison