Update to Rural Health Clinic (RHC) Payment Limits

April 1, 2021

Dear RHC,
April 1, 2021, the RHC Cap is increasing to $100.00.  CMS has issued guidance on how this will impact all provider types.  Please view this link for more details:

RHC Reimbursement Updates

Medicare Extends Medical Telehealth Billing

Medicare has extended medical telehealth billing for RHCs using CPT code G2025 through December 31, 2026.  Effective January 1, 2026, Medicare has updated the virtual communication codes for RHCs, terming G0071 and replacing it with 3 codes: 98016, G2010 and...

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Provider enrollment application fee: CY 2026

December 18, 2025 Effective January 1, the application fee is $750 for institutional providers who are: Initially enrolling in the Medicare or Medicaid programs or the Children's Health Insurance Program (CHIP) Revalidating their Medicare, Medicaid, or CHIP enrollment...

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A Note From NARHC:

NARHC is thrilled to announce the introduction of three new bills to strengthen and modernize the Rural Health Clinic (RHC) program: the Modernizing Rural Physician Assistant and Nurse Practitioner Utilization Act (H.R.5199), Rural Health Clinic Location Modernization...

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Attention Texas Medicaid Providers!

It is critical to know when your revalidation with TMHP is due. Let us take care of this and all your credentialing needs - contact us today! The Texas Health and Human Services Commission (HHSC) is requiring assistance from MCOs to enhance provider outreach efforts...

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