Rural Health Care Consulting

ADS partners with eligible Health Care Providers and consortiums to navigate the Rural Health Care (RHC) program, ensuring a fully documented and compliant competitive bidding process to select the most cost-effective vendors for requested services and equipment. Our deliverables are audit-ready, providing peace of mind throughout the process.

Once the bidding process is complete, ADS submits all required documentation to the Universal Service Administrative Company (USAC) to demonstrate full compliance with RHC program rules. After funding commitments are issued, we oversee the reimbursement and reconciliation process, managing all documentation seamlessly within the RHC Portal and memorialized in mye-binder.

Our comprehensive Rural Health Care (RHC) consulting services provide end-to-end support for Health Care Providers, including:

  • Preparing and filing Form 460 (Eligibility and Registration), if required.
  • Evaluating RHC programs to identify the most beneficial options for the applicant.
  • Assessing eligible needs and crafting tailored solutions.
  • Developing Requests for Proposals (RFPs) and documenting the scoring criteria, as needed.
  • Filing Form 461/465 (Request for Services) and managing associated documentation.
  • Overseeing the bidding process, including managing vendor inquiries via the ADS online portal.
  • Documenting bid documentation and scoring matrices to support vendor selection.
  • Preparing and filing Form 462/466 (Funding Request) and any related documents.
  • Filing Form 463/467 or 469 (Invoice and Request for Disbursement) to ensure proper fund allocation.
  • Assisting with Beneficiary and Contributor Audit Program (BCAP) and Payment Quality Assurance (PQA) reviews.


ADS collaborates directly with USAC and vendors, ensuring seamless communication and transparency throughout the Rural Health Care (RHC) process. Our processes are designed to keep client designees informed in real time, receiving updates simultaneously with ADS staff on all RHC correspondence.

USAC oversees the processing of applications, eligibility confirmations, and reimbursement to service providers for discounted services or equipment provided to eligible applicants. ADS takes responsibility for reducing your compliance risks and securing your disbursements efficiently to maintain business continuity. While we do not provide legal advice or directly select vendors, we offer customized Vendor Tools to support informed decision-making and compliance.