Provider Relief Fund Phase 4 Information

The U.S. Department of Health and Human Services, through the Health Resources and Services Administration (HRSA), has announced $25.5 billion in new funding that is available for distribution to all states through the Provider Relief Fund (PRF) Phase 4. This funding includes $8.5 billion from the American Rescue Plan Act (ARP) for providers who serve rural Medicaid, Children's Health Insurance Program (CHIP), or Medicare patients, and an additional $17 billion from the PRF for a broad range of providers who can document revenue loss and expenses associated with the pandemic. Providers may begin applying for the funding on September 29, 2021. HRSA will use existing Medicaid, CHIP and Medicare claims data in calculating payments.

Phase 4 payments will be based on providers' lost revenues and expenditures between July 1, 2020, and March 31, 2021. Phase 4 will also include bonus payments for providers who serve Medicaid, CHIP, and/or Medicare patients, who tend to be lower income and have greater and more complex medical needs. HRSA will price these bonus payments at the generally higher Medicare rates to ensure equity for those serving low-income children, pregnant women, people with disabilities, and seniors.

Phase 4 eligibility

Additional information about eligibility requirements, the documents and information needed to complete the application, and the application process for Provider Relief Fund Phase 4 and ARP rural payments, may be located on the U.S. Health Resources Services Administration website at this link.

How to apply for Phase 4 funding

Providers may begin applying for the funding on September 29, 2021. Instructions on how to apply may be located on the U.S. Health Resources & Services Administration website at this link.

Calculating Phase 3 payments

The Department of Health and Human Services has released detailed information about the methodology utilized to calculate PRF Phase 3 payments at this link. Providers who believe their PRF Phase 3 payment was not calculated correctly according to this methodology will now have an opportunity to request a reconsideration. Providers may request reconsideration at this link.

Additional Information

For additional information, please call the Provider Support Line at (866) 569-3522; for Teletype communication, 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.

Provider Relief Fund Phase 4 Information for Medicaid and PeachCare for Kids® Providers