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Rural Health Information Hub

Rural Health Clinics (RHCs) – Resources

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

Virtual Communication Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides information for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding billing and payment for virtual communication services as established in the 2019 Physician Fee Schedule Final Rule.
Date: 11/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Health Clinics: Focusing on the Patient
Brief overview of the history of Rural Health Clinics (RHCs), from their origins in the Rural Health Clinic Services Act of 1977, and into the present, as they continue to provide an array of vital services to rural communities.
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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A Career of Influencing Rural Healthcare Delivery: Bill Finerfrock and the NARHC Origin Story
Reviews the founding of the National Association of Rural Health Clinics (NARHC), with insights from long-time NARHC executive director Bill Finerfrock about collaborative work with other rural health organizations to support the Rural Health Clinic program.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Rural Health Clinic Program at 45 Years: Created for Access and Still Delivering Care
Features rural health policy experts, researchers, and clinicians discussing the impact of the Rural Health Clinic (RHC) program on outpatient healthcare delivery.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Integrating Behavioral Health into Your RHC
Recording of a July 19, 2022, webinar regarding Rural Health Clinic (RHC) billing for behavioral health services. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 07/2022
Sponsoring organization: National Association of Rural Health Clinics
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Community Characteristics and Financial and Operational Performance of Rural Health Clinics in the United States: A Chartbook
Provides an overview of Rural Health Clinics (RHCs) in the United States, including history of the RHC program, number and distribution of RHCs, operating details, characteristics of demographics served, financial and staffing information, and quality measures. Utilizes data from Centers for Medicare & Medicaid Services, Medicare Cost Reports, and the Robert Wood Johnson Foundation's County Health Rankings to provide comprehensive data about RHCs. Includes U.S. maps showing types of RHCs by state; demographic and socioeconomic breakdowns of populations in RHC and non-RHC counties with large rural, medium/small rural, isolated/completely rural, and urban comparisons; costs of RHC services; staffing patterns; and more.
Author(s): John A. Gale, Zachariah Croll, Jamar Croom, Louisa Munk, Yvonne Jonk
Date: 05/2022
Sponsoring organization: Maine Rural Health Research Center
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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: 04/2022
Sponsoring organization: National Rural Health Resource Center
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Michigan Certified Rural Health Clinics
Lists rural health clinics in Michigan that are CMS certified as of January 2022. Includes street address and county for each clinic.
Date: 01/2022
Sponsoring organizations: Bureau of Community and Health Systems, Michigan Department of Licensing and Regulatory Affairs
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Ending Surprise Medical Bills
Offers resources for healthcare providers and consumers regarding surprise billing regulations and policies. Includes information on payment dispute resolution between patients and providers, and between providers and out-of-network health plans.
Date: 2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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No Surprises Act Webinar
Recording of a December 14, 2021, webinar providing an overview of the No Surprises Act and how it impacts Rural Health Clinics. Outlines price transparency and good faith estimate requirements and enforcement. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: CMS Regulations, CMS-10791 Good Faith Estimate for Health Care Items and Services, Good Faith Estimate Information and Webinar Q&A Follow-Up, Presentation Slides, Transcript
Date: 12/2021
Sponsoring organization: National Association of Rural Health Clinics
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Last Updated: 9/2/2025