Most health centers are grantees of the Health Resources and Services Administration (HRSA), under Section 330 of the US Public Health Service Act, and include community health centers (FQHCs), migrant health centers, health care for the homeless health centers, and public housing primary care centers. Others are known as FQHC Look-Alikes. They meet all the requirements of health centers and reap most of the benefits of health center status, but do not receive a federal grant. See Health Center Program Factsheet.
FQHC Look-Alikes provide comprehensive primary health care services to all persons regardless of ability to pay and must meet all program requirements consistent with FQHC program requirements. Look-Alikes, however, do not receive section 330 grant funding.
The following is excerpted from the Rural Health Information Hub: The Rural Health Clinic (RHC) program is intended to increase access to primary care services for Medicaid and Medicare patients in rural communities. RHCs can be public, nonprofit, or for-profit healthcare facilities, however, they must be located in rural, underserved areas. They are required to use a team approach of physicians working with non-physician practitioners such as nurse practitioners (NP), physician assistants (PA), and certified nurse midwives (CNM) to provide services. The clinic must be staffed at least 50 percent of the time with a NP, PA, or CNM. RHCs are required to provide outpatient primary care services and basic laboratory services.