Community Health Clinic (CHC)

A CHC must meet the following requirements:

1. Have non-profit status as specified in applicable Minnesota Statutes
2. Have tax exempt status as provided for in the Internal Revenue Code 501(c)3
3. Be established to provide health services to low-income population groups
4. Have written clinic policies as required by the applicable provisions of Minnesota Rules
5. Ensure the facility meets the definitions of a CHC required by MN Stat. sec. 256B.0625, subd. 30 and MN Rules part 9505.0255, subp. 4

The following must be documented in the clinic files:

1. A description of health services provided
2. Policies concerning medical management of health problems including health conditions that require referral to physicians or other health professionals and provision of emergency health services
3. Policies for maintenance and review of health records by the physician

To enroll as a CHC, the facility must complete the following:

1. Minnesota Health Care Programs (MHCP) Enrollment Application (DHS-4016)
2. CHC Applicant Assurance Statement (DHS-5732)

Covered Services

1. Physician services
2. Preventive health services
3. Family planning services
4. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) services, also known as Child and Teen Checkups (C&TCs)
5. Dental services
6. Prenatal care services

Eligible Providers

1. Physicians
2. Physician assistants (PAs)
3. Advanced practice registered nurses (APRNs). APRNs may contract with, be a volunteer of, or an employee of a CHC.
4. Nurse practitioners (NPs)
5. Clinical Nurse Specialists (CNSs)
6. Certified nurse midwives (CNMs)

For physician extenders, see specific supervision and reporting requirements in the Education and Counseling section of Physician and Professional Services.

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Updated_11/27/2024