The Centers for Medicare and Medicaid Services (CMS) recently released an update to the Policy Manual for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). The update included policy changes made previously by CMS through the 2022 and 2023 Final Physician Fee Schedules, but had not yet been incorporated officially into the FQHC/RHC policy manual.  To understand the impact of the policy changes, it’s first important to note that under permanent law, FQHCs and RHCs are not eligible distant site providers of telehealth services.