| Today, the Centers for Medicare and Medicaid Services (CMS) released an informational bulletin that extends the grace period previously granted to Indian Health Service (IHS) facilities, and facilities operated by Tribes and Tribal organizations under the Indian Self-Determination and Education Assistance Act (ISDEAA), which permits IHS/Tribal facilities to claim Medicaid reimbursement under the clinic services benefit at 42 C.F.R. 440.90 (including at the IHS All Inclusive Rate (AIR)) for services provided outside of the four walls of the facility.Extension of the grace period will allow states and Tribes to continue the work needed to make an informed decision about the Tribal FQHC option described in a January 15, 2021 Informational Bulletin and take steps to effectuate that option. The bulletin released today extends the grace period to end nine months after the end of the COVID-19 public health emergency. Learn more here:Further Extension of Grace Period Related to the Four Walls Requirement under 42 C.F.R. 440.90 for Indian Health Service and Tribal Facilities to Nine Months after the COVID-19 PHE Ends | 