Rural Health Clinics
Purpose of Rural Health Clinics (RHC): RHC legislation had two main purposes: to improve access to primary health care in rural, underserved communities; and, to promote a collaborative model of health care delivery using physicians, nurse practitioners, and physician assistants. Federally certified RHCs are primary care practices that use a particular practice model and are reimbursed in a special way by CMS and state Medicaid programs.
CMS uses state surveys and licensure agencies to review and recommend designation of private or nonprofit clinics meeting conditions for participation and certification as RHCs. RHCs are important safety net providers since the populations for whom they receive enhanced reimbursements are Medicaid and Medicare beneficiaries.
NOSORH’s Primary Care Committee works to plan activities and resources to build the capacity of SORH to provide technical assistance and work with RHCs.
Click here for more information about the committee.
Module 1 – An Introduction to the Rural Health Clinic Program
This module is designed primarily for State Office of Rural Health (SORH) staff new to the Office, new to working with primary care and/or new to working with Rural Health Clinics.
Module 2 – Learning about the Technical Assistance Needs of Certified Rural Health Clinics
This module is primarily designed for State Office of Rural Health (SORH) staff who are new to the Office, new to working with Rural Health Clinics (RHCs), are not working actively with RHCs, or simply want to learn more about RHCs.
Module 3 – Helping SORH Make Decisions about Providing Technical Assistance and Support to Rural Health Clinics and Other Rural Primary Care Providers
This module is designed primarily for State Office of Rural Health (SORH) directors and team members interested in the development and implementation of technical assistance for rural primary care providers including Rural Health Clinics (RHCs). Although RHCs are central in this module, general business principles are applicable to most primary care provider types. Some content may be appropriate to share with partners, stakeholders, and/or community members.
Module 4 – Helping RHCs Work Effectively with Other Key Rural Health Providers
This module is designed for State Office of Rural Health (SORH) staff with some experience working with Rural Health Clinics (RHCs); Federally Qualified Health Centers (FQHCs), health professional shortage designations; the National Health Service Corps; the Critical Access Hospital program; pharmacy programs; rural and referral hospitals; Emergency Medical Systems (EMS); and other rural health providers.
Module 5 – RHC Performance measurement and Quality Improvement
This module is designed for State Office of Rural Health (SORH) staff with experience and interest in working with Rural Health Clinics (RHCs) in the areas of program evaluation, quality improvement, quality assurance, and performance improvement.
Module 6 – Incorporating Behavioral Health Services in the Rural Health Clinic
This module is designed for State Office of Rural Health (SORH) staff with some experience and interest in working with RHCs to provide information and models for successfully supporting or incorporating behavioral health services into an RHC. In addition, this module will increase general knowledge of rural behavioral health.
NOSORH CA Rural Health Clinic Technical Assistance Project Report – April 2011
During Year 7 of the NOSORH Cooperative Agreement the National Organization of State Offices of Rural Health entered its second year of activities to build the technical assistance capacity of State Offices of Rural Health for certified Rural Health Clinics. This report will provide an overview of the activities conducted, highlights some of the lessons learned during the year, and outlines the future cooperative work of NOSORH with ORHP, its partners and State Offices of Rural Health.
Rural Health Clinic Technical Assistance
- HRSA Health Professional Shortage Area Designation
- Starting a Rural Health Clinic: A How-to Manual (Chapters 1 & 2)
- QPP Support for Small Practices
- Columbia University – Emergency Preparedness Toolkit for CHCs and Community Practice Sites
- The Compliance Team – Emergency Preparedness Surveyor Guidelines
- The Compliance Team – Emergency Preparedness Training – Kate Hill
- CMS – Emergency Preparedness Rule Table Requirements by Provider Type
- The Compliance Team – Emergency Preparedness Checklist
- RHC / FQHC – Emergency Operations Plan Template
For a list of additional RHC resources, click here.