Rural Health Clinic
This page is a central location for rural health clinics (RHCs) information, including CMS resources.
Spotlight
- Telehealth Distant Site Medical Services:
- RHC Reporting Requirement - Modifier CG
Enrolling
The following resources support enrollment activities for RHC services:
- CMS IOM Pub. 100-07 Medicare State Operations Manual, Appendix G Guidance for Surveyors: Rural Health Clinics (RHCs)
- Rural Health Clinics Information Center
Policy Information
Not all services have a policy associated with them. We will consider Reasonable and Necessary Guidelines in the absence of an LCD, billing and coding article, NCD, or CMS manual instruction that limits coverage:
- CMS IOM Pub. 100-02 Benefit Policy Manual, Chapter 13
- CMS IOM Pub. 100-04 Claims Processing Manual, Chapter 9
Claim Submission and Reimbursement
- RHC Billing and Reimbursement
- RHC: Non-Rural Health Clinic Services, Laboratory Services and Technical Component Services
- RHC Overview
- RHC Payment for Mental Health Visits Furnished via Telecommunications
- MLN Matters Special Edition SE1611, Rural Health Clinics (RHCs) Healthcare Common Procedure Coding System (HCPCS) Reporting Requirement and Billing Updates
- Rural Health Clinic Qualifying Visit List (RHC QVL)
- Change Request (CR) 13817, Updates to Allow Category II Codes to be Submitted on Rural Health Clinic (RHC)
- MLN Matters Article MM13923, Payment for Medicare Part B Preventive Vaccines & Their Administration for Rural Health Clinics & Federally Qualified Health Centers
- CR 13580, Update to Billing Requirements for Intensive Outpatient Program (IOP) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
- Rural Health Clinic (RHC) Preventive Services Chart
- CR 13581, Updates to Billing for Care Coordination Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
- CMS IOM Pub. 100-02 Benefit Policy Manual, Chapter 13, Section 230
- MLN Booklet MLN17837722, Proper Use of Modifier 59, XE,XP,XS,XU
Additional Information
- View our FastTrack to Medicare Coverage Policies to locate guidelines
CMS
- Rural Health Clinics Information Center
- MLN Booklet MLN006398, Information for Rural Health Clinics
- Rural Health Open Door Forum
- Care Management Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Frequently Asked Questions
- Rural Health Clinics (RHCs) Frequently Asked Questions
- Virtual Communication Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Frequently Asked Questions
- Telehealth FAQ Calendar Year 2025
Education
View our wide selection of free, live and on-demand training options:
Stay Informed
Stay updated on the latest Medicare information with free email subscriptions: