Important Links
Billing / Payment
- CY2025 Payment Rates for RHCs (PDF)
- CY 2024 Payment Rate Increases for RHCs
- CY 2023 Payment Rate Increases for RHCs
- CY 2022 Payment Rate Increases for RHCs
- CY 2021 Payment Rate Increases for RHCs
- CY 2020 Payment Rate Increase for RHCs
- Chronic Care Management Services (PDF) booklet
- SE22001 (PDF) - Mental Health Visits via Telecommunications for Rural Health Clinics & Federally Qualified Health Centers (PDF)
- Communication Technology Based Services and Payment for Rural Health Clinic (RHCs) and Federally Qualified Health Centers (FQHCs) [January 2019]: MM10843 (PDF)
- CY 2019 Payment Rate Increase for RHCs. See MM10989 (PDF) .
- Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers (PDF)
- Medicare Benefit Policy Internet Only Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services - See MM11019 (PDF)
- RHC Preventive Services Chart (PDF) – Information on preventive services in RHCs including HCPCS coding, same day billing, and waivers of co-insurance and deductibles (Updated on 08/10/2016).
- Chapter 29-(T14) -- Independent Rural Health Clinic and Freestanding Federally Qualified Health Center cost Report Form CMS 222-92 (Instructions) (ZIP)
Conditions for Coverage/Participation
Enrollment/Certification
- Quality, Safety & Oversight - General Information
- Policy & Memos to States and Regions
- Form CMS 1561A : Health Insurance Benefit Agreement - Rural Health Clinic
- Form CMS 29 : Verification of Clinic Data – Rural Health Clinic Program
Legislation
- - Rural Health Clinic Services and Federally Qualified Health Center Services
Regulations
- Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019 - See Section III. Other Provisions of the Final Rule - C. Payment for Care Management Services and Communication Technology-Based Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
- Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2018 - See Section III. Other Provisions of the Proposed Rule - A. New Care Coordination Services and Payment for Rural Health Clinics (RHCs) and Federally-Qualified Health Centers (FQHCs)
- Previous RHC Regulations (PDF)
Rural Research Centers
CMS Manuals & Transmittals
- Manuals
- Transmittals
- State Medicaid Manual Paper-Based Manual
Contacts
Coverage
Educational Resources
- Information for Rural Health Clinics (PDF)
- Effective April 1, 2016, RHCs are required to report a HCPCS code for each service furnished along with an appropriate revenue code. For claims with dates of service on or after April 1, 2016, RHCs should follow the reporting requirements for modifier CG. For additional information, see RHC Reporting Requirements FAQs (PDF).
- MLN General Information
- MLN Matters Articles
- MLN Publications
External Links for Rural Health
- National Organization of State Offices of Rural Health
- National Rural Health Association
- Health Resources and Services Administration (HHS)
- National Association of Rural Health Clinics
- Rural Health Information Hub (RHI Hub)
- National Center for Frontier Communities
- National Rural Health Resource Center
- The National Rural Recruitment and Retention Network
- National Association for Rural Mental Health (NARMH)
- Kaiser Family Foundation
- The National Advisory Committee on Rural Health and Human Services
- Rural Health Research Gateway
Frequently Asked Questions
- Telehealth FAQ Calendar Year 2025 (PDF)
- CY 2022 Physicians Fee Schedule Final Rule Frequently Asked Questions (FAQs) (PDF)
- COVID-19 Frequently Asked Questions (FAQs) for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) (PDF)
- Virtual Communication Services in RHCs and FQHCs Frequently Asked Questions (PDF)
How to Stay Informed
- Subscribe now to get the weekly MLN Connects® newsletter for the latest Fee-for-Service program information, event announcements, claims and pricer information, and MLN educational resources.
- Rural Health Open Door Forum – For information on current rural health issues and an opportunity to ask and get your questions answered, join the Rural Health Open Door Forum calls sponsored by CMS. Sign up for call notifications.
- Press Releases - Opens in a new window