The main advantage of RHC status is enhanced reimbursement rates for providing Medicare and Medicaid services. The MLN Fact Sheet, Rural Health Clinic, describes how RHCs are reimbursed an all-inclusive rate (AIR) for medically-necessary primary health services and qualified preventive health services furnished by an RHC practitioner. For Medicaid, a 2016 CMS letter to state health officials details how Medicaid visits are reimbursed under a Prospective Payment System (PPS) or an alternative payment methodology (APM), providing a payment that is at minimum the same amount required under a PPS. For specific Medicare regulations governing the RHC program, see Rural Health Clinics - Rules and Guidelines compiled by the National Association of Rural Health Clinics, or visit the Centers for Medicare and Medicaid Services (CMS) Medicare Rural Health Clinics Center.
S&C's Quality, Certification & Oversight Reports (QCOR) provides access to a searchable list of for-profit, nonprofit, and government affiliated RHCs by state and zip code.
Idaho Rural Health Association * PO Box 2012 * Eagle, Idaho 83616 * email@example.com