Starting and Operating a Rural Health Clinic: A Federal Baseline Reference Manual for Rural Health Clinic Certification, Operations, and Compliance
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This 120-page federal baseline reference manual covers everything a Rural Health Clinic applicant or certified clinic needs to understand the current federal regulatory framework, from site eligibility and financial feasibility through certification, ongoing operations, billing, telehealth, and compliance.
Written by a Certified Rural Health Clinic Professional (CRHCP) with 10+ years of direct Rural Health Clinic implementation experience, this manual synthesizes current federal authority under 42 C.F.R. Part 491, CMS guidance, and the CY 2026 Medicare Physician Fee Schedule final rule.
Sourcing and Currency
Current through April 2026. Every substantive claim is source-cited and anchored to binding federal authority.
Who This Manual Is For
- Rural Health Clinic administrators, clinic directors, and medical directors
- Compliance leads
- Hospital systems with Rural Health Clinic affiliates
- State Offices of Rural Health
- Rural health networks
- Federal contractors needing a single, reliable federal reference for Rural Health Clinic certification, operations, and compliance
Who Built This
Tonne McCoy, PhD (ABD), MS, LSS-GB, CRHCP. Behavioral scientist and rural health strategist with 10+ years of direct rural health implementation experience, 250+ invited technical assistance engagements, all 50 State Offices of Rural Health served, direct briefings with CDC, HRSA, SAMHSA, and CMS, and 2025 Idaho Rural Health Hero: Educator of the Year.
Organizational Purchasing
Rural Health Clinics, associations, organizations, and agencies can purchase by purchase order or invoice instead of credit card. Use the button below to email a request and I will reply with a formal quote or invoice.
Developed by Tonne McCoy, PhD (ABD), MS, LSS-GB, CRHCP, Rural Health Advisory