Skip to main content
RSS

Rural Health Clinics (RHCs) Resources

Selected recent or important resources focusing on Rural Health Clinics (RHCs).

Emerging Strategies to Ensure Access to Health Care Services: Rural Hospital-Health Clinic Integration
Provides an overview of the benefits of sharing resources between rural hospitals and clinics. Offers suggestions for federal policy solutions and actions for hospital and health system to deploy.
Date: 08/2018
Type: Document
Sponsoring organization: American Hospital Association
view details
2018 Rural Hospital and Clinic Financial Summit Report: Key Financial Success Indicators and Strategies
Identifies the indicators of financial success for hospitals and clinics, provides strategies to transition into value-based payment models, and includes success stories from Summit participants and resources necessary for hospitals and clinics. Includes a table showing Critical Access Hospital financial indicators medians for 2016.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Small Rural Hospital and Clinic Finance 101
Provides a manual with introductory information on healthcare facility finances and payment for state Medicare Rural Hospital Flexibility (Flex) Program personnel, and Critical Access Hospital (CAH) and Rural Health Clinic (RHC) board members.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
The Medicaid Fee-for-Service Provider Payment Process
Outlines Medicaid's fee-for-services (FFS) provider payment process. Details the claims-based submission payment process, as well as additional non-claims-based payment processes. Includes information targeted to Rural Health Clinics and Federally Qualified Health Centers throughout.
Date: 07/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details
Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities
Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
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, April 2018.
Date: 04/2018
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
view details
NACRHHS Policy Brief on Modernizing the Rural Health Clinic Act Provisions
Webinar recording discusses the National Advisory Committee on Rural Health and Human Services (NACRHHS) on proposed enhancements to the Rural Health Clinic Services Act. Features presentations from the NACRHHS Executive Secretary and representatives of the Federal Office of Rural Health Policy, the Maine Rural Health Research Center, and the Idaho Dept. of Health and Welfare.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
view details
Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): Frequently Asked Questions
Provides general information about care management services, specific program requirements, detailed descriptions of billing, claims processing, and payment rules, and requirements for people who are considered part of a care management team.
Date: 02/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicare Benefit Policy Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services
Current regulations, as of January 9, 2018, regarding Medicare payment policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 01/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
RHC Best Practices
Provides a webinar recording focused on best practices for Rural Health Clinics when maintaining RHC certification. Highlights accountability tools used by RHCs that are part of a healthcare system, a split-staffing example from an independent RHC staffed by nurses, and electronic health record evaluation and implementation. Additional links include the example accountability tools. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Audio Recording, Best Practices for the Independent RHC, Presentation Slides: Provider Patient Team, Presentation Slides: Total Family Medical, RHC Best Practice Tools, RHC Best Practice Tools: Guide, Transcript
Date: 12/2017
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, National Association of Rural Health Clinics
view details
Steps to Engage Rural Health Clinics in Medicaid Value-Based Purchasing Initiatives
Identifies barriers and offers recommendations to help Rural Health Clinics (RHCs) engage in value-based purchasing initiatives and quality improvement activities.
Date: 12/2017
Type: Document
Sponsoring organization: National Academy for State Health Policy
view details
Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details
Emergency Preparedness – Update
Provides a webinar recording focused on emergency preparedness for Rural Health Clinics. Focuses on relevant regulations and creating emergency plans. Additional links include an example Emergency Operations Plan. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Audio Recording, Presentation Slides, Rural Health Clinic Example Emergency Operations Plan, Transcript
Date: 11/2017
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, National Association of Rural Health Clinics
view details
Sliding Fee Scale Discount Guide for CAHs and RHCs
Provides concepts and guidance to help Critical Access Hospital (CAH) and Rural Health Clinic (RHC) executives and management teams develop a sliding fee scale discount program. Addresses how these programs relate to Internal Revenue Code Section 501(r) compliance and participation in the National Health Service Corps (NHSC). Includes an example of a sliding fee schedule.
Date: 09/2017
Type: Website
Sponsoring organization: National Rural Health Resource Center
view details
Module 7: Engaging State Offices of Rural Health & Rural Health Clinics in Value-Based Care
Defines value-based care (VBC) as it relates to State Offices of Rural Health (SORHs) and their work with Rural Health Clinics (RHCs). Focuses on the role of SORHs in VBC, how SORHs can work with RHCs to facilitate VBC transformation, and opportunities for future collaboration. Also provides examples of what SORHs are doing now, and links to additional resources. Part of the Rural Health Clinic Technical Assistance Educational Series.
Date: 07/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Emergency Preparedness Final Rule Interpretive Guidelines and Survey Procedures
Interpretive guidelines clarifying several provisions of the emergency preparedness final rule for Medicare- and Medicaid-participating providers, which affects Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), and other rural facilities.
Date: 06/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Accountable Care Organization Implementation Experiences and Rural Participation: Considerations for Nurses
Examines implications of Accountable Care Organization (ACO) development for advanced practice nurses and other primary care clinicians employed by rural practices such as Rural Health Clinics that may be considering ACO participation.
Author(s): Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
Citation: The Journal of Nursing Administration, 47(1), 30-34
Date: 01/2017
Type: Document
view details
Rural Health Clinics (RHCs) Healthcare Common Procedure Coding System (HCPCS) Reporting Requirement and Billing Updates
Provides information to help Rural Health Clinics (RHCs) meet the requirements in reporting Healthcare Common Procedure Coding System (HCPCS) codes when submitting claims to the Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.
Date: 10/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Estimate the Annual Economic Impact of an Independent Rural Health Clinic
Study featuring two scenarios, the first exploring average economic employment and labor income impacts of an independent rural health clinic, and the second looking at the same scenario without direct physician employment.
Author(s): Fred C. Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
view details
Costs of Accountable Care Organization Participation for Primary Care Providers: Early Stage Results
Analyzes data from 2012 and 2013 Medicare cost reports to determine whether joining an Accountable Care Organization (ACO) is associated with an increase in a Rural Health Clinic's (RHC) per visit cost, particularly during the first two years of participation.
Author(s): Richard A. Hofler, Judith Ortiz
Citation: BMC Health Services Research, 16(315)
Date: 07/2016
Type: Document
Sponsoring organization: BioMed Central
view details
Identifying Rural Health Clinics in Medicaid Data
Describes and compares 6 different tested methods for identifying Rural Health Clinics (RHCs) within Medicaid claims as a technique to better understand Medicaid enrollees’ use of RHC services. Uses data from North Carolina, California, Georgia, and Texas.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, Mark Holmes
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Characteristics of Medicaid Beneficiaries Who Use Rural Health Clinics
Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research using CMS Medicaid claim data from RHCs or healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Module 6: Incorporating Behavioral Health Services in the Rural Health Clinic
Identifies Rural Health Clinic (RHC) regulations related to the provision of behavioral health services and reviews reimbursement eligibility requirements for State Office of Rural Health (SORH) staff working with RHCs incorporating behavioral health services. Covers the benefits and challenges of integrating behavioral health services into an RHC and how a integrated primary care and behavioral health model can meet patient needs in RHCs. Part of the Rural Health Clinic Technical Assistance Educational Series.
Date: 03/2016
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Module 5: RHC Performance Measurement and Quality Improvement
Provides guidance for State Offices of Rural Health (SORHs) working with Rural Health Clinics (RHCs) to help them meet the RHC Conditions of Participation (CoPs) in areas of program evaluation, quality improvement, and quality assurance and performance improvement (QAPI). Includes a summary of the requirements related to quality for RHCs and a concise history of their development. Part of the Rural Health Clinic Technical Assistance Educational Series.
Date: 03/2016
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Pilot Testing a Rural Health Clinic Quality Measurement Reporting System
Policy brief with results of a study focusing on assessing the feasibility and utility of the reporting system and quality measures for 61 participating Rural Health Clinics in 6 states. Includes statistics related to core measures and their perceived value as well as challenges or barriers to their use.
Author(s): John Gale, Anush Hansen, David Hartley, Andrew Coburn
Date: 02/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Required Billing Updates for Rural Health Clinics
Guidance for Rural Health Clinic billing related to inclusion of Healthcare Common Procedure Coding System (HCPCS) codes for services provided to Medicare beneficiaries. Requirements are implemented April 1, 2016 and effective April 4, 2016.
Citation: MLN Matters, MM9269
Date: 02/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers
Describes the differences between Rural Health Clinics and Federally Qualified Health Centers. Identifies the rules and regulations for processing Medicare claims.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Are You Ready to Begin a Capital Project? A Guide, Toolkit and Resources for Critical Access Hospitals and Rural Health Centers
Determines organizational readiness of Critical Access Hospitals and Rural Health Clinics as they proceed through the process of developing capital projects, and helps them prevent any drawbacks due to an inadequate plan. The manual is divided into two major sections: Self-assessment provides tools to identify current capabilities and weaknesses that can be used as a starting point to build a capital project; and External Influences provides tools to examine patient population and the community’s demand for services and healthcare trends to ensure the capital project is responsive to current and future needs.
Author(s): Capital Link
Date: 11/2015
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Primary Care Clinics and Accountable Care Organizations
Presents the findings of a survey sent to 257 Rural Health Clinics (RHCs) in 9 states asking clinical management about their participation in Accountable Care Organizations (ACOs), and their willingness to join an ACO.
Author(s): Judith Ortiz, Chiung-Ya Tang, Yi-Ling Lin, Maysoun D. Masri
Citation: Health Services Research and Managerial Epidemiology, 2015 (2)
Date: 10/2015
Type: Document
view details
Performance Measurement for Rural Low-Volume Providers: Final Report
Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Type: Document
Sponsoring organization: National Quality Forum
view details
Adoption and Use of Electronic Health Records by Rural Health Clinics: Results of a National Survey
Results of a 2013 web-based national survey of 1,479 Rural Health Clinics (RHCs) assessing the implementation of Electronic Health Records (EHR) technology. Includes statistics with breakdowns by geographic region, clinic ownership type, percentage of usage, and types of barriers to EHR acquisition and implementation.
Author(s): John Gale, Zach Croll, David Hartley
Date: 09/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Participation of Rural Health Care Providers in Accountable Care Organizations: Early Indications
Describes the characteristics of Rural Health Clinics (RHCs) in the southeastern part of the U.S. and the populations they serve. Compares these traits to other regions in the country and how the differences may influence their decision to participate in an Accountable Care Organization (ACO).
Author(s): Judith Ortiz, Richard A. Hofler, Yi-Ling Lin, Richard Berzon
Citation: Health Care Management Review, 34(3), 255-264
Date: 07/2015
Type: Document
view details
Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the Evolving Healthcare Marketplace
Discusses the results from a survey of Rural Health Clinics (RHCs) that identified their capability to be eligible as a NCQA Patient-Centered Medical Home (PCMH) and examines the need for technical assistance and support of RHCs in the development of the PCMH model.
Additional links: Research & Policy Brief
Author(s): John Gale, Zach Croll, David Hartley, Andrew F. Coburn
Date: 01/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
42 CFR Part 491, Subpart A - Rural Health Clinics: Conditions for Certification; and FQHCs Conditions for Coverage
Establishes the conditions Rural Health Clinics and Federally Qualified Health Centers must meet to qualify for reimbursement under Medicare, as well as those that Rural Health Clinics must meet to qualify for reimbursement under Medicaid.
Date: 10/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
CMS Has Yet to Enforce a Statutory Provision Related to Rural Health Clinics
A study to determine the extent to which Rural Health Clinics (RHCs) no longer meet the location requirements. Also discusses whether the Centers for Medicare & Medicaid Services (CMS) has taken steps to address a prior Office of Inspector General recommendation to issue regulations defining the criteria for RHCs to be deemed “essential providers.”
Date: 09/2014
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
view details
Medicare Program; Prospective Payment System for FQHCs; Changes to Contracting Policies for RHCs; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral
The final rule with comment period that implements the methodology and payment rates for a prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs) services beginning October 1, 2014 under Medicare Part B, in compliance with the Affordable Care Act (ACA). Identifies the policy allowing Rural Health Clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and incorporated other technical changes to FQHC and RHC regulations. Changes to the Clinical Laboratory Improvement Amendments of 1988 enforcement actions for proficiency testing referral are included.
Date: 05/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Safety Net Clinics Serving the Elderly in Rural Areas: Rural Health Clinic Patients Compared to Federally Qualified Health Center Patients
Compares the distribution of Rural Health Clinics (RHCs) and nonmetro Federally Qualified Health Centers (FQHCs). Looks at how the Medicare populations served by these types of facilities differ, including their age distribution.
Author(s): Andrea D. Radford, Victoria A. Freeman, Denise A. Kirk, Hilda A. Howard, Mark Holmes
Date: 05/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Rural Health Clinics
Summarizes the development and current status of Rural Health Clinics (RHCs). Identifies issues of concern and provides recommendations. Discusses access to care and managed care. Covers other factors related to becoming an RHC, such as surveying, eligibility, data collection, and more.
Author(s): Gail Nickerson
Date: 04/2014
Type: Document
Sponsoring organization: National Rural Health Association
view details
Meaningful Use of Electronic Health Records by Rural Health Clinics
Identifies rates of electronic health record (EHR) adoption among a national, random sample of Rural Health Clinics (RHCs). Examines the extent to which RHCs that have adopted an EHR system are likely to achieve Stage 1 meaningful use.
Additional links: Policy Brief
Author(s): John A. Gale, David Hartley, Zachariah T. Croll
Date: 02/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Understanding Adoption of a Personal Health Record in Rural Health Care Clinics: Revealing Barriers and Facilitators of Adoption Including Attributions about Potential Patient Portal Users and Self-reported Characteristics of Early Adopting Users
Examines patient survey data from Rural Health Clinics (RHCs) comparing patients who are early adopters of personal health records (PHRs) to those who do not use PHRs and to understand clinic level barriers to PHR adoption. Provides information on staff perceptions of newly introduced PHR.
Author(s): Jorie Butler, Marjorie Carter, Candace Hayden, et al.
Date: 11/2013
Type: Document
Sponsoring organization: American Medical Informatics Association
view details
Accountable Care Organizations: Benefits and Barriers as Perceived by Rural Health Clinic Management
Describes results of a survey, focus groups, and phone interviews with Rural Health Clinic (RHC) management personnel regarding benefits of and barriers to RHC participation in Accountable Care Organizations.
Author(s): Judith Ortiz, Angeline Bushy, Yue Zhou, Hong Zhang
Citation: Rural and Remote Health, 13, 2417
Date: 06/2013
Type: Document
view details
Profile of Rural Health Clinics: Clinic & Medicare Patient Characteristics: Review of 2009 Medicare Outpatient Claims Data
Reports on the clinic-level characteristics and geographic distribution of rural health clinics, and overviews the Medicare beneficiaries they served.
Author(s): Andrea D. Radford, Denise A. Kirk, Hilda A. Howard, Mark Holmes
Date: 03/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
NOSORH Cooperative Agreement Rural Health Clinic Technical Assistance Project Report
Provides an overview of the activities in the second year of National Organization of State Offices of Rural Health's (NOSORHs) cooperative agreement working to build the capacity of State Offices of Rural Health (SORHs) to provide technical assistance for Rural Health Clinics (RHCs). Covers lessons learned and describes future work between NOSORH and the Federal Office of Rural Health Policy (FORHP), SORHs, and other partners. Part of the Rural Health Clinic Technical Assistance Educational Series.
Date: 2013
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Partners in Health: Mental Health, Primary Care and Substance Use Interagency Collaboration Tool Kit
Designed to assist primary care clinics and behavioral health agencies, including Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), to build collaborative relationships. Provides job descriptions, sample agreements and contracts, screening instruments and evaluation measures, operational forms, strategies and prototypes for integrating mental and physical services, practical advice, issues to consider when brokering agreements, and mutual role descriptions.
Date: 2013
Type: Document
Sponsoring organization: Integrated Behavioral Health Project
view details
Profile of Rural Health Clinics: Medicare Payments & Common Diagnoses: Review of 2009 Medicare Outpatient Claims Data
Presents a summary profile of Medicare billing and reimbursement activity for independent and provider-based Rural Health Clinics (RHCs).
Author(s): Andrea D. Radford, Denise A. Kirk, Hilda A. Howard
Date: 12/2012
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Status of PPS Implementation in the Children's Health Insurance Program, State Policy Report #42
Reviews the progress since Children’s Health Insurance Program (CHIP) prospective payment system (PPS) implementation for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Highlights current efforts at the state level to implement CHIP PPS.
Author(s): Dawn McKinney, Asha Cesar, Adam Sampiev
Date: 11/2012
Type: Document
Sponsoring organization: National Association of Community Health Centers
view details
Module 4: Helping RHCs Work Effectively with Other Key Rural Health Providers
Describes how Rural Health Clinics (RHCs) can work effectively with other rural health providers. Discusses how State Office of Rural Health (SORH) staff can introduce RHCs to other rural safety-net providers and covers strategies to assist SORH staff maximize the interactions between RHCs and other rural safety-net providers. Part of the Rural Health Clinic Technical Assistance Educational Series.
Date: 2010
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Module 3: Helping SORHs Make Decisions about Providing Technical Assistance and Support to Rural Health Clinics
Discusses resources and methods to assist State Office of Rural Health (SORH) staff develop basic technical assistance services for Rural Health Clinics (RHCs). Covers opportunities for and the benefits of SORH staff providing technical assistance to RHCs. Part of the Rural Health Clinic Technical Assistance Educational Series.
Date: 2010
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Module 2: Learning about Certified Rural Health Clinics
Reviews Rural Health Clinic (RHC) program basics and provides a listing of RHCs by state. Examines technical assistance needs of RHCs and existing resources to assist State Office of Rural Health (SORH) staff working with RHCs to establish and develop relationships with RHCs and their partners. Part of the Rural Health Clinic Technical Assistance Educational Series.
Date: 2010
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Module 1: An Introduction to the Rural Health Clinic Program
Provides an introduction of the Rural Health Clinic (RHC) program for State Office of Rural Health (SORH) staff. Includes an overview of primary care and its role in rural healthcare. Covers issues and resources for states, communities, and providers ensuring access to primary care in rural and underserved areas. Discusses the differences between RHCs and Federally Qualified Health Centers (FQHCs). Part of the Rural Health Clinic Technical Assistance Educational Series.
Date: 2010
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Care Coordination Services and Payment for Rural Health Clinics (RHCs) and Federally-Qualified Health Centers (FQHCs)
Provides instructions for payment to Rural Health Clinics (RHCs) billing under the all-inclusive rate and Federally Qualified Health Centers (FQHCs) billing under the prospective payment system for care coordination services provided to Medicare beneficiaries on or after January 1, 2018.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
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
view details
Rural Health Clinic Technical Assistance Series
Series of recorded and upcoming webinars presenting information about operational and policy issues related to the Rural Health Clinic (RHC) program. Webinars are generally held five times annually, last about one hour, and include a 15-minute question and answer session.
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, National Association of Rural Health Clinics
view details
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
view details
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
view details
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
view details
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
view details
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
view details
ICD-10 Toolkit
Provides guidance and assistance to rural healthcare providers in making the transition from ICD-9 to ICD-10. This toolkit is designed to be used in conjunction with any coder or physician training that a rural hospital or clinic may be doing.
Type: Tool
Sponsoring organization: National Rural Health Resource Center
view details
Health Professional Shortage Area (HPSA) Application and Scoring Process
Provides an overview of the Health Professional Shortage Area (HPSA) designation application and scoring process, including discussing the scoring criteria. Covers additional criteria and guidelines specific to each of the three types of designations: primary care, dental and mental health.
Type: Website
Sponsoring organization: Health Resources and Services Administration
view details
Find Shortage Areas by Address
Searchable tool for identifying Health Professional Shortage Areas (HPSAs), Medically Underserved Areas/Populations (MUA/P) by street address, city, and state or a street address and zip code.
Type: Website
Sponsoring organization: Health Resources and Services Administration
view details
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide
Describes the information Federally Qualified Health Centers (FQHCs) are required to submit for a Prospective Payment System (PPS), and it explains how Rural Health Clinics (RHCs) should bill for certain preventive services under the Affordable Care Act.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
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
view details
Medicare Learning Network: Rural Health Clinic
Provides an overview of the Rural Health Clinic (RHC) program and services. Includes information regarding Medicare certification.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicare Quarterly Provider Compliance Newsletter
Quarterly newsletter to help healthcare providers to address and avoid common Medicare billing errors and comply appropriately with payment audits.
Type: Journal/Newsletter
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
PubMed Search: Rural Health Clinics
Searches PubMed's collection of journal article citations with abstracts for items related to Rural Health Clinics (RHCs) published in the U.S.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
view details
CMS Rural Health Clinics Center
Provides links to manuals, billing codes, enrollment and certification information, legislation, regulations, and contacts related to Medicare and Medicaid services in the rural health clinics.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Quality, Safety & Oversight - Certification & Compliance: Rural Health Clinics
Provides information about being certified as a Medicare participating Rural Health Clinic (RHC) supplier. Includes links to applicable laws, regulations, and compliance information.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
List of Medicare Certified Rural Health Clinics
Provides a list of all Rural Health Clinics (RHCs) in each of the 50 states. Includes provider number, name, address, city-state-zip, phone number, and county.
Type: Directory
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Am I Rural?
Helps determine whether a specific location is considered rural based on various definitions of rural, including definitions that are used as eligibility criteria for federal programs. Definitions covered include Rural Urban Commuting Areas (RUCAs), Core Based Statistical Areas, Rural Urban Continuum Codes (RUCC), and Urban Influence Codes (UICs).
Type: Tool
Sponsoring organization: Rural Health Information Hub
view details
CMS Medicare Administrative Contractors
Provides information and resources concerning the Part A/Part B Medicare Administrative Contractors (MACs).
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
State Survey Agency Directory
A directory of state agencies that handle survey and certification of certain healthcare facilities including Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) for compliance with the Medicare health and safety standards. Updated quarterly.
Type: Directory
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Developing and Implementing a Discount Fee Schedule
Basic information for clinics and health centers about developing and implementing a sliding fee schedule for low-income populations.
Type: Website
Sponsoring organization: National Health Service Corps
view details
Social Security Act, Section 1833 (f) and (h): Payment of Benefits
Payment limits for Rural Health Clinics and clinical laboratory services under the Social Security Act.
Type: Document
view details
MUA Find
Search for Medically Underserved Areas and Populations (MUAs/MUPs). Allows searching by state, county, or ID number. Includes designation status and date.
Type: Database
Sponsoring organization: Health Resources and Services Administration
view details
Rural Health Clinic - Rules and Guidelines
Interpretive guidelines for the Medicare regulations governing the Rural Health Clinic (RHC) program. Used by state surveyors to ensure that clinics are in compliance with the technical requirements of the RHC program.
Type: Document
Sponsoring organization: National Association of Rural Health Clinics
view details

Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 11/16/2018