Key Guidance for RHCs

RHC Upper Payment Limits Guidance (last updated May 4, 2021) 

Medicare Benefit Policy Manual Chapter 13 – Rural Health Clinic and Federally Qualified Health Center Services: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/bp102c13.pdf

State Operations Manual Chapter 2 – The Certification Process: https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107c02.pdf

State Operations Manual Appendix G – Guidance for Surveyors: Rural Health Clinics: https://www.cms.gov/files/document/appendix-g-state-operations-manual

State Operations Manual Appendix Z – Emergency Preparedness for All Providers:  https://www.cms.gov/files/document/r204soma.pdf

Medicare Claims Processing Manual Chapter 9 – Rural Health Clinics/Federally Qualified Health Centers: https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c09.pdf

Rural Health Clinics Center on CMS: https://www.cms.gov/Center/Provider-Type/Rural-Health-Clinics-Center

MLN Fact Sheet – Rural Health Clinics: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/RuralHlthClinfctsht.pdf