Rural Health Clinics

RHC contacts

Find links to RHC resources, sample templates shared by other RHCs and a link to Indiana RHC Directory.  The Indiana Rural Health Association's RHC program provides live and online training opportunities found on the Events webpage. The RHC Coordinator is available to help you find answers to your questions.  Please report any failed links.  Other websites make changes which breaks the original link.  


RHC Education

Upcoming and archived HRSA-NARHC Technical Assistance Presentations on RHC topics.  Includes slides, recording and transcripts.

IRHA hosted Presentations:

  James, Charles - RHC-FQHC Telehealth and Care Management Service Billing Update (June 2020 Presentation)

  Shover, Sharon - RHC Billing (May 2020 Presentation)


RHC Contacts

Directory of Indiana RHCs (ISDH listing)

CMS List of RHCs

CMS Regional Rural Health Coordinator Region 5  Indiana is in CMS Region 5.  Contact for questions about Medicare A, B, C, D, Medicaid, CHIP, Physician Alliance, Physician Certification and Complaints, Quality Initiatives, Medicaid Oversight, etc. 

RHC Consultants from the list of past presenters at IRHA's RHC Programs


Rural Health Clinic Certification Resources

Ensure address in shortage area and is rural:

Choose an accreditation agency for initial survey for the CMS certification.  Established clinics may wait for the State Agency (ISDH) to do periodic surveys or they may contract with one of the following:


2. The Compliance Team  

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  "How to Start a RHC" (2004) useful resource.  


RHC Billing

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 Helps - samples (be sure to update with current 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 previously with Cahaba.

WPS is the Medicare Administrative Contractor for Provider-Based RHCs and newly designated Independent RHCs.

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


Getting Ready for RHC Survey. RHC Regulations:

State Operations Manual Appendix G  with Surveyors' Guidance. Updated 2018, excellent resource to prepare for RHC survey or a resurvey.

Sample Environment / Safety Checklist

Template for Chart Reviews

More RHC Resources:

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.   


IRHA Rural Health Clinic Newsletters