RHCs - Citations and Description

2240 - RHCs - Citations and Description (Rev. 1, 05-21-04) The statutory basis for RHCs is found in §1861(aa) of the Act. The Conditions for Certification are in 42 CFR 491, Subpart A. Appendix G contains interpretive guidelines and surveyor procedures. An RHC is a facility located in a rural area designated as a shortage area and is neither a rehabilitation agency nor a facility primarily for the care and treatment of mental diseases. It meets all other requirements of the RHC regulations at 42 CFR 491, Subpart A. A clinic located on an island may be eligible to be certified as an RHC even though it does not have a physician assistant, nurse practitioner, or certified nurse-midwife. (See §6213 of OBRA 1989.)