4510 DEFINITIONS

For purposes of this Chapter, the following terms shall have the meanings ascribed:

Federally Qualified Health Center (FQHC) - An entity that meets the definition set forth in section 1905(1)(2)(B) of the Social Security Act (42 U.S.C. 1396d(1)(2)(B)).

Fiscal Year (FY) - The District's fiscal year.

Increase or decrease in scope of services - A change in the type, intensity, duration and/or amount of services. A change in the cost of a service, in and of itself, is not considered a change in the scope of services.

Primary care services - Those services defined in section 1842(i)(4) of the Social Security Act (42 U.S.C. 1395u(i)(4)).

Prospective rate - The rate paid for services furnished in a particular fiscal year. The rate is not dependent on actual cost experience during the same year in which the rate is in effect.

Visit - Every patient encounter in an FQHC when one or more medical services are furnished to that patient.

SOURCE: Final Rulemaking published at 49 DCR 7724 (August 9, 2002).