" Purpose of Rural Health Clinics (RHC): To improve access to primary health care in rural, underserved communities; and to promote a collaborative model of health care delivery using physicians, nurse practitioners, and physician assistants. Federally certified RHCs are primary care practices that use a particular practice model and are reimbursed specifically by the Centers for Medicare and Medicaid Services (CMS) and state Medicaid programs.

CMS uses state surveys and licensure agencies to review and recommend the designation of private or nonprofit clinics that meet the conditions for participation and certification as RHCs. RHCs are important safety net providers since the populations for whom they receive enhanced reimbursements are Medicaid and Medicare beneficiaries." (NOSORH)