Rural Health Clinic Services Law and Legal Definition

Rural health clinic services refers to clinical services provided through clinics located in rural and medically underserved communities with payment on a cost-related basis for outpatient physician and certain non-physician services. The services offered under rural health clinic services includes physicians’ services, services and supplies that are incident to physicians services, registered dietitians or nutritional professionals services for diabetes and medical nutrition therapy, covered drugs furnished incident to services of physicians and non-physician practitioners of rural health clinic, services of nurse practitioners (NP), physician assistants (PA), certified nurse midwives (CNM), clinical psychologists (CP), and clinical social workers (CSW), services and supplies incident to services of NP, PA, CNM, CP, and CSW and visiting nurse services.

According to 42 USCS § 1395x (aa) (1), the term "rural health clinic services" means :

(A) physicians' services and such services and supplies as are covered under section 1861(s)(2)(A) [subsec. (s)(2)(A) of this section] if furnished as an incident to a physician's professional service and items and services described in section 1861(s)(10) [subsec. (s)(10) of this section],

(B) such services furnished by a physician assistant or a nurse practitioner (as defined in paragraph (5)), by a clinical psychologist (as defined by the Secretary) or by a clinical social worker (as defined in subsection (hh)(1)), and such services and supplies furnished as an incident to his service as would otherwise be covered if furnished by a physician or as an incident to a physician's service, and

(C) in the case of a rural health clinic located in an area in which there exists a shortage of home health agencies, part-time or intermittent nursing care and related medical supplies (other than drugs and biologicals) furnished by a registered professional nurse or licensed practical nurse to a homebound individual under a written plan of treatment (i) established and periodically reviewed by a physician described in paragraph (2)(B), or (ii) established by a nurse practitioner or physician assistant and periodically reviewed and approved by a physician described in paragraph (2)(B), when furnished to an individual as an outpatient of a rural health clinic.