Reimbursement Information for RHC and FQHC Providers
This section will provide guidance to the Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) providers on reimbursement information under the TennCare Medicaid program.
Please see the following documents related to TennCare’s moratorium period, the reporting requirements for the Prospective Payment System settlement requests, and other applicable TennCare guidance:
Reimbursement Manual and CPT Code List:
PPS Settlement Manual for FQHC and RHC Providers (revised July 2024)
Procedure Codes Eligible for PPS Settlement (Revised October 2025)
Quarterly RHC & FQHC Newsletter
Subscribe to the RHC & FQHC Providers' Newsletter for Updates and Insights.
Memos:
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
COVID-19 Vaccine Counseling Memo
Adding and Reporting Behavioral Health Visits Memo
July 1, 2025 Billing Changes and Guidance
January 5, 2026: Reporting Paid Visits Beyond 12-Month Service Date