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Rural Health
Resources by Topic: Legislation and regulations

Back to the Basics - RHC Billing
Recording of a March 13, 2025, webinar the basic Rural Health Clinic (RHC) billing requirements. Covers RHC and non-RHC services, revenue codes and bill types, billing examples, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Back to the Basics - RHC Compliance
Recording of a March 12, 2025, webinar providing an overview of federal Rural Health Clinic (RHC) regulations and requirements, and highlights the most common RHC deficiencies. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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RHC Cost Reporting Webinar Recording
Recording of a March 11, 2025, webinar providing an overview of Rural Health Clinic (RHC) cost reporting. Covers key cost report concepts, allowable and non-allowable costs, RHC visits, the cost report approval process, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Expanding Your Reach: Planning Your Rural Non-Congregate Summer Meal Service
A recorded webinar that discusses strategies to maximize the impact of non-congregate meal service in rural areas. Includes information on regulations, tools to locate suitable rural areas, operational considerations, program models, and more. Transcript available below description.
Additional links: Slide Deck
Date: 03/2025
Sponsoring organization: No Kid Hungry
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Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of March 2025, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 03/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Lower Electronic Health Record Adoption and Interoperability in Rural Versus Urban Physician Participants: A Cross-Sectional Analysis from the CMS Quality Payment Program
Compares rural versus urban physician adoption of electronic health records (EHRs) and interoperability, as related to federal programs such as Medicare Access, Children's Health Insurance Program (CHIP) Reauthorization Act of 2015, and the 21st Century Cures Act. Utilizes 2021 Quality Payment Program Experience Report Public Use File data to analyze 209,152 physicians, with rural versus urban data breakdowns according to physician practice characteristics, EHR adoption, geographic distribution of interoperability scores, and more.
Author(s): A. Jerrod Anzalone, Carol R. Geary, Ran Dai, et al.
Citation: BMC Health Services Research, 25, 128
Date: 01/2025
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Impact of the Medicare Improvements for Patients And Providers Act on Mental Health Service Utilization And Spending among Older Adults
Examines the impact of the Medicare Improvements for Patients and Providers Act (MIPPA) on outpatient mental healthcare utilization. Utilizes 2008-2017 Medicare claims and administrative data to analyze MIPPA in a pre-implementation phase as well as 4 post-implementation phases. Includes data on mental healthcare outpatient visits by age group, race, dual eligibility status, substance use disorder, comorbidities, and urban, large rural, small rural, or isolated rural location.
Author(s): Matt Toth, Brent Gibbons, Abbie Levinson, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Postpartum Health Care Use in Medicaid During the COVID-19 Public Health Emergency: Implications for Extending Postpartum Coverage
Examines the impact of Medicaid continuous enrollment during the COVID-19 public health emergency (PHE) on postpartum healthcare utilization. Utilizes 2018-2023 claims data from the Centers for Medicare and Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) to analyze a pre-PHE versus PHE cohort of women. Includes healthcare utilization data with breakdowns according to age, race/ethnicity, eligibility group (Medicaid or other form), rural versus urban location, maternity care desert status, severe maternal morbidity and/or chronic health condition, postpartum month, and state.
Author(s): Amelia Whitman, Anupama Warrier, Sarah Gordon, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Projecting the Impact of the $2,000 Part D Out-Of-Pocket Cap for Medicare Part D Enrollees with High Prescription Drug Spending
Examines the impact of the Medicare Part D $2,000 cap on out-of-pocket prescription drugs. Provides projected savings according to low-income subsidy (LIS) status, state, and demographic characteristics, including urban, rural-micropolitan, rural-other, or unclassified geographic location.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The Latest HIPAA Requirements - A Check-In on Your RHC's Compliance
Recording of a January 14, 2025, webinar on HIPAA compliance for Rural Health Clinics (RHCs). Covers HIPAA related legislation, HIPAA-related complaints and investigations by the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR), and new regulations and proposed rules related to patient privacy. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 01/2025
Sponsoring organization: National Association of Rural Health Clinics
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