The FCC Form 467 is a form used by the HCP to confirm the following occurred during the funding year:
An HCP submits one FCC Form 467 for each FCC Form 466 to USAC. After receiving the FCC Form 467 (Connection Certification Form), USAC generates an HCP support schedule (HSS), which is sent to the health care provider (HCP) contact and service provider. The HSS provides a detailed report of the approved service(s) and support information for each HCP and service provider.
The HSS includes the following information:
The service provider uses the HSS to determine how much credit the HCP will receive each month. The support should be credited to the Billing Account Number shown on the HCP support schedule. A sample support schedule is available for download.
The HSS will be sent to the HCP and service provider after the FCC Form 467 (Connection Certification Form) has been processed by USAC. Once the service provider receives the HSS, it should review it to ensure the following information is correct:
If there is an error or you have any questions about the information on the HSS, contact the RHC Help Desk at (800) 453-1546 (before you apply program discounts).
Once the service provider has reviewed the HSS, it should start applying the approved discounts to the health care provider during the next possible billing cycle. Since the FCC has allowed credit to be provided to third parties, the Billing Account Number may be from an account other than the HCP location. The entity that receives the bill and pays for the service is defined as the "billed entity."
Service providers may provide credit one of two ways:
Rural Health Care support functions as a credit provided to the billed entity after taxes. The support amount on the bill must be subtracted after taxes and other miscellaneous charges are applied.
The credited amount should equal the support amount on the HCP support schedule for the Billing Account Number except when the first month's credit is provided. The first month's credit should equal the support amount for the current month plus all previous months on the schedule (retroactive support).
If multiple credits are provided on a single bill (e.g., more more than one HCP location credit to same Billing Account Number), USAC recommends that the service provider break out the individual credit amounts for each service for each HCP location and Funding Request Number (FRN).
USF Support 13001 $100.00
USF Support 13020 $100.00
USF Support 13034 $100.00