Provider Relief Fund (PRF)
Payment Mechanism
Direct provider payments.
Who It Serves
Eligible providers who diagnose, test, or care for individuals with possible or actual cases of COVID-19, and have health care related expenses and lost revenues attributable to COVID-19.
How It Works
Providers receive automatic payments and/or apply for payments.
Why It Matters
Providing financial support to providers who experienced lost revenues and increased expenses during the pandemic in order to maintain national health system capacity.
Program Impact (As of 5/28/21)
$119+ billion obligated to 410,000+ unique providers paid in 650,000+ payments.
COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured Program (UIP)
Learn more about the UIP.
Payment Mechanism
Claims reimbursement based on services rendered.
Who It Serves
Eligible providers who have provided COVID-19 testing, treatment, or vaccine administration to uninsured individuals.
How It Works
Providers check patient eligibility, submit claims electronically, and receive payment for approved claims.
Why It Matters
Creating access to COVID-19 testing, treatment, and vaccine administration for the uninsured, by reimbursing providers who provide these services, to help end the COVID-19 pandemic.
Program Impact (As of 5/28/21)
$6.5+ billion reimbursed across 14 million+ claims.
COVID-19 Coverage Assistance Fund (CAF)
Learn more about the CAF.
Payment Mechanism
Claims reimbursement based on services rendered.
Who It Serves
Eligible providers who have administered COVID-19 vaccines to patients whose health insurance doesn’t cover vaccine administration fees, or does but typically has patient cost-sharing (“underinsured”).
How It Works
Providers check patient eligibility, submit claims electronically, and receive payment for approved claims.
Why It Matters
Expanding vaccine access for underinsured patients, by reimbursing providers who provide these services, to help end the COVID-19 pandemic.
Program Impact (As of 5/28/21)
Program launched and began accepting claims on 5/3/21.
PRF General and Targeted Payments
Eligible providers for General Distribution payments have included Medicare, Medicaid, and Children’s Health Insurance Program participants, as well as some health care providers who are private pay or accept commercial insurance (e.g. assisted living facilities, behavioral health, and dentists). Funds have also been allocated to specific provider groups via Targeted Distribution payments, including:
- Hospitals in COVID-19 high impact areas
- Indian Health Service (IHS) and Tribal providers
- Rural providers
- Safety net hospitals
- Children’s hospitals
- Skilled nursing facilities
- Nursing home infection control
PRF Terms and Conditions
Providers must attest to program Terms and Conditions in order to receive payment, such as:
- Eligible providers may use funds to prevent, prepare for, and respond to coronavirus, and for related expenses or lost revenues attributable to coronavirus.
- Funding cannot be used where another source has reimbursed or is obligated to reimburse those expenses or losses.
- Provider and payment information for entities that have attested to at least one payment is posted to an HHS Public Use File (PUF).
