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  Audit and Reimbursement

Maximum Payment Limits for Federally Qualified Health Centers
 

Payment Limit*

Annual Adjustment

Period Covered

Rural

Urban

$62.25

$72.39

 

10/01/91 –12/31/91

$63.99

$74.42

2.80%

01/01/92 –12/31/92

$65.72

$76.43

2.70%

01/01/93–12/31/93

$69.65

$81.00

5.98%

01/01/94–12/31/94

$72.63

$84.47

4.28%

01/01/95–12/31/95

$75.60

$87.93

4.09%

01/01/96–12/31/96

$77.11

$89.69

2.00%

01/01/97–12/31/97

$78.81

$91.66

2.20%

01/01/98–12/31/98

$80.62

$93.77

2.30%

01/01/99–12/31/99

$82.55

$96.02

2.40%

01/01/00–12/31/00

$84.28

$98.03

2.10%

01/01/01–12/31/01

$86.47

$100.57

2.60%

01/01/02–12/31/02

$88.71

$103.18

2.60%

01/01/03–02/28/03

$89.06

$103.58

3.00%

03/01/03–12/31/03

$91.64

$106.58

2.90%

01/01/04–12/31/04

$94.48

$109.88

3.10%

01/01/05–12/31/05

$97.13

$112.96

2.80%

01/01/06–12/31/06

$99.17

$115.33

2.10%

01/01/07–12/31/07

$100.96

$117.41

1.81%

01/01/08–12/31/08

$102.58

$119.29

1.6%

01/01/09–12/31/09

* Payment limits are obtained from the Centers for Medicare & Medicaid Services (CMS) Publication 27, Medicare Rural Health Clinic and Federally Qualified Health Center Manual, section 505.2 and corresponding updates.

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