MM14303 - Rural Health Clinic & Intensive Outpatient Program Payment Rates: CY 2026 Update
Per section 1833(f) of the Social Security Act, Medicare Part B pays RHCs 80% of the AIR for qualified, preventive face-to-face services an RHC practitioner provides. We subject the AIR to a payment limit per visit.
Starting April 1, 2021, we increase RHC’s payment limit per visit over an 8-year period with a prescribed amount for each year from 2021–2028. After 2028, we’ll update the limit by the percentage increase in the Medicare Economic Index (MEI).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 08, 2025
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