Rural Health Clinics

Rural Health Clinic (RHC) services are a set of health care services, either core services or other ambulatory services, for Medicaid members. The Rural Health Clinic Services Act (PL95-210) authorizes Medicaid payments to certified rural health clinics for physician services and physician-directed services whether provided by a physician, physician's assistant, nurse practitioner or certified nurse midwife.

Financial Information

Fee Schedules

Rural Health Clinics Cost Report - Hospital-based

Rural Health Clinics/Federally Qualified Health Centers Cost Report - Freestanding

Core Billing Rates

To establish and maintain rates for RHC providers, the following documents must be submitted to NC Medicaid by mail or fax:

  • Enrollment letters from Centers for Medicare and Medicaid Services (CMS)
  • Enrollment letters from NC Medicaid Provider Enrollment
  • Both the initial and annually updated fiscal intermediary rate letters

Coverage and Requirements

Change in Scope of Services


April High
Phone: 919-527-7629
Fax: 919-831-1811

Mailing Address
2501 Mail Service Center
Raleigh NC 27699-2501

NC Medicaid Clinical Section
Phone: 919-855-4260
Fax: 919-733-2796