Rural Health Clinic Network
The Rural Health Clinic (RHC) Network is dedicated to ensure and sustain the delivery of high-quality healthcare to all rural residents of Montana. Through education, innovation, and collaboration, the Montana RHC Network works to continually ensure access for all rural communities and with continually improving outcomes and financial vibrancy.
About
The main goal of a Rural Health Clinic (RHC) is to improve access to primary care services in underserved rural communities and utilizing a team approach to health care delivery. RHCs are vital health access points in rural communities, providing primary and preventive care through an interdisciplinary team model. Montana's RHC Network was established in 2023, by the conveining of RHC stakeholders and three organizational partners (The Montana Office of Rural Health, the Montana Health Network and the Montana Flex program). The network serves as a central resource for Montana’s certified RHCs and those exploring certification.
What is an RHC
As defined by Code of Federal Regulations Section 491.2 and as outlined on the Centers for Medicare and Medicaid Services webpage for Rural Health Clinics, a rural health clinic must meet the following criteria:
- Location- RHCs must be located in communities that are both “rural” and “underserved” shortage area (find out if you have a HPSA)
- Have a primary care focus, including preventative care, diagnosis, and treatment of common illnesses
- Staffing- RHCs have multi-disciplinary staffing. At least 1 or more physicians and 1 or more PAs, NPs or CNMs. PA, NP or CNM must be on site and available to see patients 50 percent of the time the clinic is open to patients
- RHCs can be Provider-Based (often owned by hospitals or other entity) or Independent (freestanding clinics).
The RHC designation offers enhanced Medicare and Medicaid reimbursement opportunities to support clinics located in federally recognized underserved areas.
Starting a Rural Health Clinic - A How-To Manual
For those considering RHC certification, this step-by-step guide walks through everything from eligibility requirements and feasibility assessments to the application process and certification inspection. Developed by the Health Resources and Services Administration and the National Association of Rural Health Clinics, this manual is a practical tool for providers and administrators interested in expanding access to care in rural areas.
Montana Medicaid Resources for Rural Health Clinics
Montana Medicaid plays a crucial role in sustaining Rural Health Clinics, especially given that Medicare and Medicaid often account for a majority of clinic revenue. The Montana Department of Public Health and Human Services (DPHHS) provides specific guidance for RHC billing, provider enrollment, and reimbursement policies. These resources are essential for understanding payment structures, staying compliant, and ensuring clinics can continue to serve Medicaid beneficiaries effectively.
Access Montana Medicaid Provider Resources for RHCs
Montana RHC Netowrk Partners
