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RHC COVID-19 Updates

Attention Rural Health Clinics:

Per CMS Publication 100-02, Chapter 13 (PDF, 400 KB), Section 80.4, productivity standards require 4,200 visits per physician and 2,100 visits per practitioner. If you are having difficulty meeting productivity standards as a result of COVID-19 PHE, you may request an exception to the productivity standards.

The following information is required:

  • Visit count that you are requesting as an exception to the standard of 4,200 for physicians and 2,100 for mid-level practitioners
  • Documentation to justify an exception to the standard

A separate request is required for each facility/clinic, and they may ask for additional information after receipt of the request.

COVID-19: New and Expanded Flexibilities for RHCs & FQHCs during the Public Health Emergency

On July 6, CMS updated MLN Matters Article SE20016 to clarify how Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) can apply the Cost Sharing (CS) modifier to preventive services furnished via telehealth. Click here for more information from CMS.