Moratorium on Rural Health Centers and Final Rate Setting

In October 2017 TennCare applied for and received a moratorium from the federal government on the registration of new RHCs with the TennCare program. The initial moratorium period is for 6 months, with applications for extensions permitted by law. In April 2019, the federal government approved a moratorium extension that runs through October 25, 2019. The purpose of the moratorium was to allow for the creation of rules by the Division of TennCare, in consultation with the Comptroller’s office, to address issues concerning the RHC payment methodology. The proposed TennCare rules and associated state plan amendment have been withdrawn by TennCare.

As of October 1, 2019, TennCare is lifting the moratorium and moving forward with setting final rates for all clinics that are still on interim rates. For more information about this, please see the following two documents:

Memo on RHC Moratorium and FQHC/RHC Final Rate Setting

FAQ on RHC Moratorium and FQHC/RHC Final Rate Setting

PCP Directed Payment Materials

FQHCRHCs Reporting F Codes on Settlement Reports

FQHC RHC Hospital Visits Memo

If you would like to be added to the e-mail list for updates regarding RHC final rates and other information please send an email to Rebekah Stephens @ or call 615.687.4739 with your name, organization, phone number and e-mail address.