TMPPM 2008 > Texas Medicaid Services > Rural Health Clinics (RHCs) > Benefits and Limitations

41.4.2.3 FQHC/RHC After-Hours

After-hours care for FQHCs and RHCs is defined as care provided on weekends, on federal holidays, or before 8 a.m. and after 5 p.m. Monday through Friday.

PCCM clients (see "PCCM" ) can access health-care services at FQHCs and RHCs when services are provided outside the normal business hours, including weekends or holidays, without a referral from the client'sprimary care provider.

After-hours care provided by FQHCs and RHCs do not require a referral from the client's primary care provider. FQHCs and RHCs that provide after-hours services to PCCM clients must submit claims with modifier TU.