Provider Relief Fund
The U.S. Department of Health and Human Services is announcing $20 billion in new funding for providers on the frontlines of the coronavirus pandemic. The application period for Medicaid, Medicaid Managed Care, CHIP, and dental providers to apply for payments from the additional $20 billion to the Provider Relief Fund begins Monday, October 5, 2020 and runs through November 6, 2020. Funds received from the Provider Relief Fund do not need to be repaid to the US Government assuming providers comply with the terms and conditions. The terms and conditions may be reviewed by selecting the following link: Phase 3 General Distribution Relief Fund Terms and Conditions - PDF
Please see the links below for helpful guidance:
All providers eligible for a previous PRF distribution, plus new 2020 providers and behavioral health providers may apply. Providers may be eligible regardless of whether they were eligible for, applied for, received, accepted, or rejected payment from prior PRF distributions. Previously ineligible providers, such as those who began practicing in 2020 are strongly encouraged to apply, and an expanded group of behavioral health providers confronting the emergence of increased mental health and substance use issues exacerbated by the pandemic are also eligible for relief payments.
To be eligible to apply, the applicant must meet at least one of the following criteria:
- Billed Medicaid / CHIP programs or Medicaid managed care plans for health-related services between January 1, 2018 – March 31, 2020; or
- Billed a health insurance company for oral healthcare-related services as a dental service provider as of March 31, 2020; or
- Be a licensed dental service provider as of March 31, 2020 who does not accept insurance and has billed patients for oral healthcare-related services; or
- Billed Medicare fee-for-service during the period of January 1, 2019 - March 31, 2020; or
- Be a Medicare Part A provider that experienced a CMS approved change in ownership prior to August 10, 2020; or
- Be a state-licensed / certified assisted living facility as of March 31, 2020; or
- Be a behavioral health provider as of March 31, 2020 who has billed a health insurance company or who does not accept insurance and has billed patients for healthcare-related services as of March 31, 2020
Additionally, to be eligible to apply, the applicant must meet all of the following requirements:
- Filed a federal income tax return for fiscal years 2017, 2018, 2019 if in operation before January 1, 2020; or be exempt from filing a return; and
- Provided patient care after January 31, 2020 (Note: patient care includes health care, services, and support, as provided in a medical setting, at home, or in the community); and
- Did not permanently cease providing patient care directly or indirectly; and
- For individuals providing care before January 1, 2020, have gross receipts or sales from patient care reported on Form 1040 (or other tax form)
Receipt of funds from SBA and FEMA for coronavirus recovery or of Medicaid HCBS retainer payments will not preclude a healthcare provider from being eligible.
How to apply for funding:
Instructions on how to apply for the Phase 3 General Distribution may be located by selecting the following link: https://www.hhs.gov/sites/default/files/provider-distribution-instructions.pdf. A sample application form is available at https://www.hhs.gov/sites/default/files/provider-distribution-application-form.pdf.
All applicants must submit their Tax Identification Number (TIN) and financial information to the Provider Relief Fund Application and Attestation Portal . Applicants who submit by Friday, November 6, 2020 at 11:59 p.m. ET will be considered for funding.
For detailed information on receiving payment, please review the Provider Relief Fund FAQs.
For additional information, please call the Provider Support Line at (866) 569-3522; for TTY, dial 711. Hours of operation are 7 a.m. to 10 p.m. Central Time, Monday through Friday. Service staff members are available to provide real-time technical assistance, as well as service and payment support.