Rural Health Clinics Center
Spotlights
- Vaccination is the Best Protection Against the Flu [PDF, 333KB]
- SE1039 – Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide
- Do you want to find out Medicare Fee-for-Service information quickly? Subscribe to a CMS Electronic Mailing Lists: Keeping Medicare Fee-For-Service Providers Informed [PDF, 410KB] , such as the Rural Health listserv, that suits your needs!
- Medicare Rural Health Clinics Waiver of Coinsurance and Deductible Claim Processing Issue: The Centers for Medicare & Medicaid Services (CMS) has identified an issue when Healthcare Common Procedure Coding System (HCPCS) codes are reported for preventive services recommended by the United States Preventive Services Task Force (USPSTF) with a grade of A or B on Rural Health Clinic claims (71X) for dates of service on or after January 1, 2011. Since the additional revenue line(s) are not separately payable, the contractors have been instructed to move the charges associated with these revenue lines to the non covered field and to override reason code 31577. This will allow the claim to continue processing and not delay payments. After the changes for CR 7208, transmittal 2122, are implemented on April 4, 2011, contractors will mass adjust these claims to ensure the charges are reflected as covered. Providers should not attempt to resubmit affected claims as their FI or MAC will be initiating adjustments for the sole purpose of correcting the charges. Providers should anticipate the initiation of these adjustments within 30 calendar days after the implementation of CR 7208.
Medicare Learning Network (MLN) Spotlights
Go to the page for the latest MLN products and announcements! Check it often!
Important Links
Billing / Payment
- Medicare Claims Processing Manual: Chapter 9 - Rural Health Clinics/Federally Qualified Health Centers [PDF, 215KB]
- Medicare Benefit Policy Internet Only Manual: Chapter 13 - Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Services [PDF, 155KB]
Enrollment/Certification
- Form CMS-1561A : Health Insurance Benefit Agreement - Rural Health Clinic
- Form CMS 29 : Request to Establish Eligibility to Participate in HI for Aged/Disabled to Provide Rural Health Clinic Services
- Survey & Certification - General Information
- Policy & Memos to States and Regions
Conditions for Coverage/Participation
- Conditions for Coverage (CfCs) & Conditions of Participations (CoPs)
- CfC and CoP: Rural Health Clinic/Federally Qualified Health Center
Legislation
- - Rural Health Clinic Services and Federally Qualified Health Center Services
Regulations
Medicare Secondary Payer
- Medicare Secondary Payer & You
- Internet-Only Manuals (IOMs)
- Coordination of Benefits - General Information
Educational Resources
- MLN General Information
- MLN Educational Web Guides
- MLN Matters Articles ( Search Tips )
- MLN Products : MLN Publications
External Links for Rural Health
Rural Research Centers
CMS Manuals & Transmittals
- Manuals
- Internet-Only Manuals (IOMs)
- Transmittals
- State Medicaid Manual Paper-Based Manual
- The Medicare Rural Health Clinic and Federally Qualified Health Center Manual Paper-Based Manual
- Chapter 29-(T10) -- Independent Rural Health Clinic and Freestanding Federally Qualified Health Center cost Report Form CMS 222-92 (Instructions) [ZIP, 172KB]
Coverage
Resources
- American Indian/Alaska Native
- Therapy Services
- Partnering with CMS Center
- Telehealth
- List of Past Articles
Contacts
- CMS Rural Health Coordinators Updated October 2011 [PDF, 57KB]
- Medicare Certified Rural Health Clinics [ZIP, 1MB] (as of 7/28/2012) - This report is sorted by region, by state, and then by provider
- CMS Regional Survey and Certification Contacts [PDF, 19KB]
- CMS Regional Offices and HHS Regions - Map [PDF, 96KB]
- Coordination of Benefits - General Information
How to Stay Informed
- Join the mailing list (or listserv). Scroll to the right to Subscribe.
- Rural Health Open Door Forum
- To receive changes to the CMS Quarterly Provider Update, subscribe from the CMS Quarterly Provider Updates