Rural Health Clinics

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 training opportunities.   The RHC Coordinator is available to help you find answers to your questions.


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

Directory of Indiana RHCs (ISDH listing)

CMS Regional Rural Health Coordinator Region 5

Past Presenters for RHC Programs 

      Shover, Sharon - RHC Billing (May 2020 Presentation)

How to Become a Rural Health Clinic

Ensure address in shortage area and is rural:

Choose an accreditation agency:

1.  AAAASF  

Toll Free: 888-545-5222, Fax: 847-775-1985, Email:, Peer Review Helpdesk:, Business Hours: 8 am to 4:30 pm CST, Monday -Friday

2. The Compliance Team  and sales team contact

RHIhub - Description of RHCs: how to start, financial feasibility, different types of RHCs, and helpful FAQs. More FAQs including Indiana laws. Choose green tab on left menu.

RHC CMS Fact Sheet

HRSA  "How to Start a RHC" (2004) dated, but useful resource

RHC Billing

Medicare Benefit Policy Manual Chapter 13 for RHCs and FQHCs Services updated 2016
Medicare Claims Processing Manual Chapter 9 for RHCs and FQHC
Flu Roster template
Sliding Fee Scale Helps - samples shared through the NARHC listserve: (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

Getting Ready for RHC Survey and Regulations:

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

Environment / Safety Checklist Example

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. Topics often include payment & billing for services, cost report clarifications, classifications for & qualifications of rural provider types. 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. 



ISDH Indiana Rural Health Clinic Certification Program - State Agency contact for RHCs. 

Directions for application for RHC certification

Join Rural Health Information hub for a wealth of onformation, grant opportunities, rural research, funding opportunities, link to Federal Register, tool kits, weekly newsletter

NARHC Listserv is a mail list which allows NARHC members to communicate through email posts


IRHA Rural Health Clinic Newsletters