Rural Health Clinics Information Center
Find Medicare payment policies, billing codes, enrollment requirements, and program updates for rural health clinics (RHCs) serving underserved communities.
Announcements
Resources
Enrollment & Participation
- Medicare Provider-Supplier Enrollment
- Enrollment Applications
- Conditions for Coverage (CfCs) & Conditions of Participation (CoPs)
- CfC and CoP: RHC/FQHC
- Form CMS 1561A: Health Insurance Benefit Agreement - Rural Health Clinic
- Form CMS 29: Verification of Clinic Data – Rural Health Clinic Program
- Quality, Safety & Oversight - General Information
- Medicare Certified RHCs
Coverage
- Medicare Coverage - General Information
- Coordination of Benefits Information
CMS Manuals & Transmittals
- Transmittals
- Manuals
- State Medicaid Manual - Paper-Based Manual
- Medicare Claims Processing Manual, Chapter 9: RHCs/FQHCs
- Medicare Benefit Policy Internet Only Manual, Chapter 13: RHC and FQHC Services
Rural Research Centers
Billing & Payment
- CY 2026 Payment Rate Increases for RHCs
- CY 2025 Payment Rate Increases for RHCs
- 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 Increases for RHCs
- Independent RHC & Freestanding FQHC Cost Report Form: CMS 222-92 (ZIP)
Coding
- HCPCS
- ICD-10
- 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 08/10/2016)
Policy, Regulations & Legislation
- Policy & Memos to States and Regions
- Revisions to Payment Policies Under the Physician Fee Schedule & Other Revisions to Part B for CY 2019
- Revisions to Payment Policies under the Physician Fee Schedule & Other Revisions to Part B for CY 2018
- Previous RHC Regulations (PDF)
- Social Security Act, Title XVIII, Section 1861(aa): RHC & FQHC Services
Educational Resources
- Information for RHCs (PDF) booklet
- Chronic Care Management Services (PDF) booklet
- SE22001: Mental Health Visits via Telecommunications for RHCs & FQHCs
- Medicare Learning Network®
FAQs
Page Last Modified:
07/01/2026 12:05 PM