Rural Health Clinics (RHCs) – Resources
Selected recent or important resources focusing on Rural Health Clinics (RHCs).
Medicare Waiver Expiration & Telehealth FAQs
Provides answers to frequently asked questions regarding the expiration of Medicare telehealth waivers on September 30, 2025. Covers in-person visit requirements, billing procedures, and the applicability of policies across different care settings, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Additional links: Chart: Telehealth Medicare Post-September 30, 2025
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides answers to frequently asked questions regarding the expiration of Medicare telehealth waivers on September 30, 2025. Covers in-person visit requirements, billing procedures, and the applicability of policies across different care settings, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Additional links: Chart: Telehealth Medicare Post-September 30, 2025
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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MedPAC Comment on CMS's Proposed Rule on CY 2026 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B for Payment Policies
Comment on a July 16, 2025, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of a proposal to allow Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to provide and bill for medical visits via telehealth and be paid at Physician Fee Schedule (PFS)-equivalent rates through December 2026.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 16, 2025, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of a proposal to allow Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to provide and bill for medical visits via telehealth and be paid at Physician Fee Schedule (PFS)-equivalent rates through December 2026.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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An Evaluation of State Flex Program Initiatives to Support Critical Access Hospital-Based Rural Health Clinics
Describes the 16 State Flex Program (SFP) Critical Access Hospital (CAH)-based Rural Health Clinic (RHC) initiatives for the 2023-2024 funding year. Explores the various strategies SFPs have employed to assist CAH-based RHCs by highlighting common activities, challenges, and successes observed across their programs. Summarizes interviews with seven SFPs identifying common themes and notable variations in how they engage with CAH-based RHCs.
Author(s): Bridget Harr, Rebecca Stearns, John Gale
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Describes the 16 State Flex Program (SFP) Critical Access Hospital (CAH)-based Rural Health Clinic (RHC) initiatives for the 2023-2024 funding year. Explores the various strategies SFPs have employed to assist CAH-based RHCs by highlighting common activities, challenges, and successes observed across their programs. Summarizes interviews with seven SFPs identifying common themes and notable variations in how they engage with CAH-based RHCs.
Author(s): Bridget Harr, Rebecca Stearns, John Gale
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Prepublication Requirements: Revisions to Rural Health Clinic Requirements to Align with CMS CfCs
Outlines revisions to Joint Commission standards and Elements of Performance (EPs) for Rural Health Clinics. Changes reflect regulatory updates that were effective January 1, 2025, regarding the provision of primary care services and basic laboratory services requirements.
Date: 07/2025
Sponsoring organization: Joint Commission
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Outlines revisions to Joint Commission standards and Elements of Performance (EPs) for Rural Health Clinics. Changes reflect regulatory updates that were effective January 1, 2025, regarding the provision of primary care services and basic laboratory services requirements.
Date: 07/2025
Sponsoring organization: Joint Commission
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Understanding and Navigating Commingling - RHC Edition
Recording of a July 17, 2025, webinar discussing how Rural Health Clinics can share resources and be located in the same space as other Medicare entities and remain compliant with Medicare regulations. Describes common commingling issues and best practices. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 07/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a July 17, 2025, webinar discussing how Rural Health Clinics can share resources and be located in the same space as other Medicare entities and remain compliant with Medicare regulations. Describes common commingling issues and best practices. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 07/2025
Sponsoring organization: National Association of Rural Health Clinics
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Rural Health Clinics (RHCs)
Printable map that shows the location of Rural Health Clinics (RHCs) nationwide by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 07/2025
Sponsoring organization: Rural Health Information Hub
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Printable map that shows the location of Rural Health Clinics (RHCs) nationwide by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 07/2025
Sponsoring organization: Rural Health Information Hub
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Organizational Factors Associated with Using Telehealth Services: Perspectives from Leaders of Rural Health Clinics and Federally Qualified Health Centers
Research and policy brief examining organizational factors influencing telehealth use in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Summarizes interviews with RHC and FQHC key informants to discuss perceptions of telehealth, implementation challenges, operational challenges, and opportunities for innovation. Provides suggestions for policy and reimbursement approaches to improve telehealth provision and access.
Author(s): Constance van Eeghen, John A. Gale, Erika Ziller, Yvonne Jonk
Date: 06/2025
Sponsoring organization: Rural Telehealth Research Center
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Research and policy brief examining organizational factors influencing telehealth use in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Summarizes interviews with RHC and FQHC key informants to discuss perceptions of telehealth, implementation challenges, operational challenges, and opportunities for innovation. Provides suggestions for policy and reimbursement approaches to improve telehealth provision and access.
Author(s): Constance van Eeghen, John A. Gale, Erika Ziller, Yvonne Jonk
Date: 06/2025
Sponsoring organization: Rural Telehealth Research Center
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Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers
Describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Identifies the rules and regulations for processing Medicare claims.
Date: 06/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes the differences between Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Identifies the rules and regulations for processing Medicare claims.
Date: 06/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Advantage Reimbursement Remains Top Challenge for RHCs
Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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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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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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Last Updated: 10/8/2025