CMS Internet Manuals HC Program

RHC Medicare Benefit

Examples of information that can be found in this document include:

  • Rural Health Clinics (RHCs) Defined
  • Rural Health Clinic Service Defined
  • Physician Services
  • Services and Supplies Furnished Incident to Physician’s Services
  • Nurse Practitioner, Certified Nurse Midwife, and Physician Assistant Services
  • Services and Supplies Incident to Nurse Practitioners, Certified Nurse Midwives
  • Conditions for Coverage of Visiting Nurse Services
  • Clinical Psychologist Services Away and at the RHC
  • Clinical Social Worker (CSW) Services Away and at the RHC

RHC Medicare Claims Processing

Examples of information that can be found in this document include:

  • General Differences Between RHCs and FQHCs
  • Method of Medicare Payment for RHC and FQHC Services
  • Annual Reconciliation With Cost Report
  • Allowable Costs
  • Deductible and Coinsurance
  • Mental Health Services Limit
  • Determining How Much to Charge Patient Before Billing Is Submitted for Part B Payment
  • Laboratory Services
  • FI/Carrier Coordination
  • Agreements Between CMS and RHC/FQHC
  • Content and Terms of Agreements
  • Termination of Agreement

Starting an Rural Health Clinic – A How-To Manual(pdf)

To find out if you are in a designated shortage area visit

Introduction to RHCs Course

This course consists of 4 short videos on the basics of Rural Health Clinics. This is offered as a FREE member benefit to NARHC members and $50 for non-members. These short videos are very beneficial to anyone considering becoming an RHC. CLICK HERE to view more information about the course and to register.