Rural Health Clinics & FQHCs
The Rural Health Clinic (RHC) program is intended to increase access to primary care services for patients in rural communities. RHCs can be public, nonprofit, or for-profit healthcare facilities. The main advantage of RHC status for rural providers is enhanced reimbursement rates for providing Medicare and Medicaid services.
Federally Qualified Health Centers (FQHCs) are outpatient clinics that qualify for specific reimbursement systems under Medicare and Medicaid. They include Health Center Program award recipients and look-alikes, and certain outpatient clinics associated with tribal organizations. In 2022, over 9.6 million rural residents were served by the Health Center Program, demonstrating the importance of Federally Qualified Health Centers are important safety net providers in rural areas. We encourage you to utilize the following advocacy materials and external resources when you are advocating for rural health clinics and FQHCs!
Leave Behind Materials:
Relevant NRHA Policy Papers:
NRHA Advocacy Campaign:
Relevant NRHA Public Comments:
- CY 2025 Medicare Physician Fee Schedule
- Letter to CMMI on Making Care Primary
- Letter to Senate Appropriations on RHC Behavioral Health Initiative
- H.R.3730 Rural Health Clinic Burden Reduction Act
- Letter to Congress on Provider-Based RHC Payment
- Letter to Congress on Rural Health Clinic stability
- Letter to HHS on Census definition and RHCs (member template)
- Letter to CMS on new Census definition and RHCs