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Rural Health
Resources by Topic: Rural Health Clinics

Code of Federal Regulations: Title 42 Public Health, Chapter 4, Subchapter G, Part 425: Medicare Shared Savings Program
Details and describes the regulations for Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program. Provides information on eligibility, application procedures, reporting requirements, and special assignment conditions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Chronic Care Management (CCM) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides instructions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) on how to submit claims for chronic care management services according to the RHC All-Inclusive Rate and the FQHC Prospective Payment System, effective January 1, 2016.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Map of RHCs in US
An interactive map that provides the name and location of Rural Health Clinics (RHCs) by state in the U.S.
Type: Map/Mapping System
Sponsoring organization: National Association of Rural Health Clinics
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CMS State Operations Manual (SOM)
Provides guidance to state agencies that survey healthcare facilities and providers to determine if they are in compliance with the Medicare Conditions of Participation (CoP). Includes appendices with regulatory information specific to Critical Access Hospitals (Appendix W), and Federally Qualified Health Centers/Rural Health Clinics (Appendix G). Can be used by healthcare facilities as a tool to self-evaluate their compliance with Medicare CoP.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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RHIhub Rural Healthcare Facility State Maps
Individual state maps showing each state's Critical Access Hospitals and Rural Health Clinics, as well as rural Federally Qualified Health Centers.
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Medicaid Benefits: Rural Health Clinic Services
Provides state-by-state information on Medicaid coverage of Rural Health Clinic (RHC) services. Includes populations covered, copayments, limitations, and reimbursement methodology.
Type: Website
Sponsoring organization: Kaiser Family Foundation
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Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Federally Qualified Health Center and Rural Health Clinics
A provider manual covering the federal requirements and state guidelines for clinical services and billing procedures specific to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Minnesota.
Type: Website
Sponsoring organization: Minnesota Department of Human Services
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Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide
Describes the information Federally Qualified Health Centers are required to submit for a Prospective Payment System, and explains how Rural Health Clinics should bill for certain preventive services under the Affordable Care Act.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Billing Information for Rural Providers and Suppliers
Provides Medicare billing information by provider type and type of service, including information on where to submit claims. Includes information for Critical Access Hospitals, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), Skilled Nursing Facilities, Home Health Agencies, and Swing Bed services.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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