South Carolina Rural Health Association (SCRHA) works to advocate, educate and collaborate for improved health of rural people in South Carolina. Many Rural Clinics are within hospitals or private clinics which accept Medicaid and Medicare.
Get more information at 803.454.3850 or email [email protected]
Rural Health Clinics
Assisting Rural Health Clinics serving rural and underserved residents
Rural Health Clinics (RHCs) care for Medicaid, Medicare, uninsured, and self-pay, many of which receive care at the RHC for free or at a reduced cost to the patient. In South Carolina, these patients account for greater than 55% of their overall volume. RHCs are an important piece of South Carolina’s safety-net for the uninsured and underinsured and nationally are increasingly becoming recognized as a source of care for vulnerable populations. The SC Office of Rural Health staff provides technical expertise and guidance to the 104 Rural Health Clinics in our state.
Description of SC Rural Health Clinics Services
Rural Health Clinics are located in a rural or non-urbanized area (population under 50,000) and serve a population that is in either a Medically Underserved Area (MUA), Health Professional Shortage Area (HPSA), or Governor Designated Shortage Area. The overwhelming majority of RHCs in South Carolina are small, entities that see a large percentage of Medicare and Medicaid patients. A mid-level provider such as a nurse practitioner or physician assistant is required at least 50% of the time the RHC is open.
Rural Health Clinics are required to provide services to patients as noted in the list below. Services beyond this are offered at the discretion of the individual RHC; in most cases patients must travel to Columbia, Greenville, or Charleston, SC for additional services.
- 1. Primary Health Care Services – the treatment of acute or chronic medical problems which usually bring a patient to a physician’s office.
- 2. Basic Lab Services – Chemical examination of urine by stick or tablet; hemoglobin or hematocrit; blood sugar; examination of stool specimens for occult blood; pregnancy tests and primary cultures for transmittal to a certified lab.
- 3. Emergency Care Services – RHCs are required to provide medical emergency procedures as a first response to common life threatening injuries and acute illnesses. The definition of first response is that service commonly provided in a physician office.
- 4. After Hours Coverage – There are no specific requirements for an RHC to directly provide on call coverage, although the RHC must make arrangements for access to care, i.e. referral to a hospital.
- 5. Hospital/Specialty Care – RHCs must either provide or have arrangements with other health care providers to furnish inpatient hospital services and specialty care. The RHC program has no requirements for hospital admitting privileges, but a practice must demonstrate that hospital services are available to patients.
Seeing large percentages of Medicare, Medicaid and indigent patients have stretched the resources of many rural providers. In fiscal year 2003, SC RHCs comprised 18.7% of all primary care Medicaid visits. In very rural counties, SC RHCs comprised 44.3% of all primary care Medicaid visits.
Rural Health Clinic Services
Two full-time staff at the SC Office of Rural Health are dedicated to providing Rural Health Clinic services at no or minimal cost.
The SC Office of Rural Health strives to meet the pressing needs of Rural Health Clinics. Contact the RHC staff (803.454.3850) to determine how the SC Office of Rural Health can assist you in caring more effectively for the rural and underserved population that you serve.
CPC Director, Rural Health Clinics
Mental Health Facilities
Regional Area Directories
Anderson-Oconee-Pickens MH Center
Beckman Center for Mental Health Services
Coastal Empire CMHC
Columbia Area Mental Health Center
Greenville Mental Health Center
Lexington County CMHC
Orangeburg Area Mental Health Center
Pee Dee Mental Health Center
Piedmont Center for Mental Health
Spartanburg Area Mental Health Center
Waccamaw Center for Mental Health
Community Mental Health Center Websites:
Hospital/Program Services Directory:
Maps / Directions:
Cities and Towns in S.C. with Links to Corresponding CMHCs and Facilities
County Map of Community Mental Health Centers
Directions to Community Mental Health Centers and Hospitals
Expedia.com-Driving Directions, Address to Address
Map of Crafts-Farrow Campus
Map of SCDMH Inpatient Facilities
Map of S.C. State Hospitals Campus
US Map with Links to Other State Department or Division of Mental Health Web Sites
Community Senior Citizens Centers programs