R12288CP

MLN Connects^® Newsletter Message

Rural Health Clinic CY 2024 All-Inclusive Rate

CMS updated the rural health clinic (RHC) all-inclusive rate for CY 2024:

Independent & Provider-Based RHCs in Hospital with 50 or More Beds

The payment limit per visit is $139.00.

Specified (Grandfathered) Provider-Based RHCs with April 1, 2021, Established Payment Limit

For RHCs that continue to meet the qualifications in section 1833(f)(3)(B) of the Act, the payment limit per visit is the greater of these amounts: 

1. Your payment limit per visit starting January 1, 2023, increased by 4.6%
2. The national statutory CY 2024 payment limit per visit of $139.00

More Information:

• Section 20.2 Medicare Claims Processing Manual, Chapter 9 (PDF)
• Instruction to your Medicare Administrative Contractor (PDF)