Emergency Medical Services

As required by federal law, TennCare reimburses hospitals for emergency medical services (EMS) for certain non-citizens. These noncitizens include qualified aliens subject to the 5-year bar and non-qualified aliens who are not eligible for regular TennCare because of their immigration status. TennCare reimburses hospitals for EMS only if such noncitizens:

  • Would be eligible under an existing TennCare eligibility category but for his or her immigration status
  • Have an EMS period on the date on which he or she received emergency services
  • Received emergency services that meet the federal standards.

EMS applicants should submit the FFM application form to both TNHC and the federally-facilitated marketplace (FFM). EMS applicants should send income, residency, and emergency medical documentation to TNHC as soon as it is available. Please note that TennCare will not provide reimbursement for EMS if an applicant is a citizen or eligible immigrant; citizens and eligible immigrants must instead apply for regular TennCare.

Webinar

This webinar was presented on July 1, by representatives of TennCare. This recording displays the slides that were shown during the audit and plays the sound of the presenters.

You may print out the presentation file (available below) and follow along with this recording, making notes.

Resources