Resources

Behavioral Health Provider Resources

Children & Adolescents: 

Adults

Other Provider Resources:

 

Billing Resources

Medicare Benefit Policy Manual Chapter 13 for RHCs and FQHCs Services, includes telehealth, behavioral health and care management.
 
Medicare Claims Processing Manual Chapter 9 for RHCs and FQHC
 
Flu Roster template
 
Sliding Fee Scale Samples (be sure to update with current Federal Poverty Level [FPL])

Sliding Fee Scale is optional for RHCs unless one of their providers or clinical staff is receiving National Health Service Corps loan repayment 

Palmetto is the Medicare Administrative Contractor for Indiana Independent RHCs.

WPS is the Medicare Administrative Contractor for Provider-Based RHCs.

Indiana Medicaid Provider Relations Field Consultants Find your regional Medicaid representative for help.

 

Policy & Procedure Manual Resources

Example Policies:

 

Recorded Webinars

 

RHC Certification Resources

RHC Regulations:

Ensure the RHC address is located in Health Professional Shortage Area (HPSA) and is rural:

Choose an accreditation agency for initial survey for the CMS certification. Established clinics may wait for the Indiana Department of Health to do periodic surveys, or they may contract with one of the following:

 

Other Resources

  • RHIhub - Description of RHCs: how to start, financial feasibility, different types of RHCs, and helpful FAQs. More FAQs including Indiana laws. 
  • RHC CMS Fact Sheet: Great resource about many aspects of the RHC program.
  • NARHC Academy Page offers two courses: Introduction to RHCs and Certified Rural Health Clinic Professional 
  • HRSA's "How to Start a RHC" (2004)
  • Look up your CMS Certification Number (CCN) and other RHC information on CMS QCOR.
  • CMS MLN Matters Articles - Medicare Learning Network: web-based training, articles, guides, fact sheets, etc.

  • CMS Open Door Forum for Rural Health - The call addresses Rural Health Clinic (RHC), Community Access Hospital (CAH) and Federally Qualified Health Center (FQHC) issues. Timely announcements and clarifications regarding important rulemaking, quality program initiatives, and other related areas are also included in the forums. Sign up to be notified of CMS calls

  • CMS Rural Health Clinics 

  • Current CMS information (e.g., public health emergency information, manuals, RHC billing, etc.)

  • CDC Media - CDC Newsroom Outbreaks and Warnings (Public Health) 

  • Join Rural Health Information Hub for a wealth of information, grant opportunities, rural research, funding opportunities, link to Federal Register, tool kits, weekly newsletter.

  • NARHC Listserv is an NARHC News Open Forum which provides RHC staff an opportunity to post questions and receive RHC news and announcements.  Also find a listing of upcoming and recordings, slides and transcripts of past HRSA-NARHC Technical Assistant webinars.   

  • Visit Find Your Representative to find contact information for your Representative by address and zip code.

  • Become a National Health Service Corps site - being a NHSC-approved site offers benefits to hired providers, including mid-level providers. Click here for the HRSA Quick Guide for Rural Health Clinics.