RHC Certification


RHC Training Modules

On August 22, 2017 CMS published RHC and FQHC Basic Training Online Course (RFBTOC) which is a series of training modules for RHC  inspectors or new RHCs. The course will take approximately 25 hours to complete.  Rural Health Clinics (RHC) are required to comply with the Federal requirements set forth in the Medicare Conditions for Certification/Conditions for Coverage in order to receive Medicare and/or Medicaid payment. The goal of an RHC survey complaint survey is to determine whether the RHC complies with its applicable Conditions of Participation at 42 CFR 491, Subpart A. The link to find the RHC survey training course is as follows:

Startup Tools

RHC Fact Sheet published by CMS (2013)

Starting a Rural Health Clinic, A How-To Manual (2004)

RHC Chartbook from University of Maine (2003)

Current Federal Register - Final Rule (May 12,2014)



Enrollment Information

Rural Health Clinics Center - CMS


Medically underserved areas

Rural Health Clinics must be located in a medically underserved area. The following links take you to the HRSA website with the HPSA, MUA, and MUP listings:

Health Professional Shortage Area Database         

Medically Underserved Area/Medically Underserved Population (MUA/MUP) Database