Conditions of Participation

Requirements for Rural Health Clinics

Rural Health Clinics must comply with Medicare regulations to meet conditions of certification. To view Medicare's Rural Health Clinics regulations and interpretative guidelines go to:


Rural Health Clinics are required to use a team approach of physicians and mid-level practitioners such as nurse practitioners, physician assistants, and certified nurse-midwives to provide services. The clinic must be staffed at least 50% of the time with a midlevel practitioner.


Rural Health Clinics are required to provide outpatient primary care services and basic laboratory services.

Becoming A Rural Health Clinic

To become a Rural Health Clinic, the process first begins by applying for Medicare certification through the Kansas Department of Health and Environment, Bureau of Health Facilities.

For more information or questions about the application process for RHC certification, email Lois Wilkins or call 785-296-1258.