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Skip Navigation LinksPennsylvania Department of Health > Healthcare Facilities > Consumers > Health Facilities > Home Health Services and Hospices > RHCs

​Rural Health Clinics 

Rural Health Clinics (RHCs) provide primary care services to individuals in medically underserved rural areas. 
 
Services at Rural Health Clinics are provided by physicians, nurse practitioners, certified nurse midwives, and physician assistants and include primary care as well as other medically needed services.  The clinics offer services on-site and also refer patients to hospitals for referrals and/or admissions.
 
RHCs are not licensed by the Commonwealth of Pennsylvania, but may be certified for participation in the federal Medicare program.
 
RHCs are certified for participation in the Medicare program.  The Federal Department of Health and Human Services' Centers for Medicare and Medicaid Services (CMS) determines if the location of the clinic meets Medicare eligibility criteria of being in a designated medically underserved area.

 

Application for Federal Medicare Certification:

Please submit one copy of the CMS Form 29 to the Division of Home Health.

Please submit one copy of the CMS Form 690 to the Division of Home Health.​

Please submit one copy of the CMS Forms 1561a to the Division of Home Health.

Please submit the CMS Form 855A - Enrollment Application to your Fiscal Intermediary - see Helpful Links on the right.

Please submit the Federal Civil Rights Information for Medicare Applicants by clicking here.

After review and acceptance of the application materials and notification from CMS of the approval of the CMS-855A, the Department will conduct a survey before recommending the agency for Medicare certification.
 
 
 All forms and regulations are accessible by using Adobe Reader software.  Click here to download it.