Rural Community Health Service (RCHS) supports communities and serves individuals throughout rural and frontier Nevada. There are 29 clinics that comprise RCHS, which consists of three programs: Rural Counseling and Supportive Services (RCSS), Community Health Nursing (CHN), and Rural Epidemiology. RCSS provides evidence-based outpatient behavioral health and case management services for adults and children. CHN provides adult and child immunizations, EPSDT examinations, lead testing; family planning, cancer screening, and identification/treatment of communicable diseases such as Tuberculosis, Sexually Transmitted Infections and Human Immunodeficiency Virus (HIV). Rural epidemiology provides communicable diseases investigation and management. Services are provided on a sliding fee scale and all clinics accept private insurance, Medicaid and Medicare. Services are not denied if an individual does not have an ability to pay.