Provider Relief Fund General Information

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Overview

Provider Relief Fund Terms and Conditions

ARP Rural Payments Terms and Conditions

Attestation

Rejecting Payments

Ownership and Financial Structures

COVID-19 Vaccine Distribution and Administration

Balance Billing

Appeals

Publication of Payment Data

Calculating Eligible Expenses and Lost Revenue

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Provider Relief Fund General Information

Overview

Who is eligible to receive payments from the Provider Relief Fund?

Is this a loan or a grant that I will need to pay back?

Are Provider Relief Fund recipients required to notify HRSA if they have filed a bankruptcy petition?

What is the Assistance Listing (AL) (formerly the Catalog of Federal Domestic Assistance (CFDA)) number for the Provider Relief Fund program?

Why would a provider not be eligible for a General or Targeted Distribution Provider Relief Fund payment?

Is there a minimum amount for the Provider Relief Fund to issue payments?

Will HHS allow providers to make corrections to the data used to determine Targeted Distribution eligibility and payment amounts?

How should providers classify the Provider Relief Fund payments in terms of revenue type for cost reports?

How can a healthcare provider find more information on the status of their Provider Relief Fund payment or application?

Are hospitals and health systems in all states and territories eligible for a Provider Relief Fund payment?

Will health care providers that experienced a change in ownership that disqualified them from receiving a Provider Relief Fund payment be able to receive a payment that was returned by the previous owner?

My hospital has not been eligible for any of the Targeted Distributions. Will the hospital be eligible for future funding in an effort to create parity between hospitals?

Can providers who have ceased operation due to the COVID-19 pandemic still receive this funding?

Are Provider Relief funds accessible in whole or in part to bankruptcy creditors and other creditors in active litigation?

May a health care provider that receives a payment from the Provider Relief Fund exclude this payment from gross income as a qualified disaster relief payment under section 139 of the Internal Revenue Code (Code)?

Is a tax-exempt health care provider subject to tax on a payment it receives from the Provider Relief Fund?

Will I receive a Form 1099?

When will my Form 1099 be available?

Who do I contact if I have a question regarding my Form 1099?

What is HHS doing with payments that are returned to the Provider Relief Fund?

Which sections of 45 CFR 75 – UNIFORM ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR HHS AWARDS are applicable to the General and Targeted Distributions of the Provider Relief Fund?

If a provider returns a payment to the Provider Relief Fund and the returned amount is greater than what should be returned to the Government, will the Provider Relief Fund refund amounts returned in error?

How can a provider return unused Provider Relief Fund payments that it has partially spent?

I received an email, voicemail, or letter stating that I have not taken appropriate action to update financial information in order to receive a payment that I am eligible to receive. Are my funds still available?

If a provider returns a Provider Relief Fund payment to HHS, must it also return any accrued interest on the payment?

Provider Relief Fund Terms and Conditions

If a merger or acquisition was planned before receiving Phase 4 General Distribution payments, will health care providers still need to report these activities?

What type of review will HRSA do after a merger or acquisition has been reported by recipients of a Phase 4 General Distribution payment?

Does HHS intend to recover any payments made to providers not associated with specific claims for reimbursement, such as the General or Targeted Distribution payments?

What should providers do if they have remaining Provider Relief Fund payments that they cannot expend on allowable expenses or lost revenues by the relevant deadline?

What oversight and enforcement mechanisms will HHS use to ensure providers meet the Terms and Conditions of the Provider Relief Fund?

What if my payment is greater than expected or received in error?

Certain recipients are required to notify HHS of a merger with or acquisition of any other health care provider during the Payment Received Period (as defined in the Provider Relief Fund Post Payment Notice of Reporting Requirements). How will recipients report this information to HHS/HRSA?

If a provider cannot expend its Provider Relief Fund payment by the applicable deadline to use funds, what is the deadline to return the unused funds to the government?

Is there a set period of time in which providers must use the payments to cover allowable expenses or lost revenues attributable to COVID-19?

In order to accept a payment, must the provider have already incurred eligible expenses and losses higher than the Provider Relief Fund payment received?

Can providers use Provider Relief Fund distributions to repay payments made under the CMS Accelerated and Advance Payment (AAP) Program?

For how long are the Terms and Conditions of the Provider Relief Fund applicable?

What is the definition of individuals with possible or actual cases of COVID-19?

What is the definition of Executive Level II pay level, as referenced in the Terms and Conditions?

The Terms and Conditions set forth a list of "statutory provisions" that "also apply" to the Provider Relief Fund payment. Do these requirements apply to any government funding received by the recipient, or only the Provider Relief Fund payment associated with those Terms and Conditions?

ARP Rural Payments Terms and Conditions

If a merger or acquisition was planned before receiving ARP Rural payments, will health care providers still need to report these activities?

What type of review will HRSA do after a merger or acquisition has been reported by recipients of an ARP Rural payment?

How long do I have to expend the ARP Rural payment?

Can an applicant allocate ARP Rural payments to its non-rural subsidiaries?

What can ARP Rural payment recipients use funds for?

Attestation

What action does a provider need to take after receiving a Provider Relief Fund payment?

Do the Provider Relief Fund attestation portals require payment recipients to attest that the payment amount was received?

What if I attested and accepted a Provider Relief Fund payment, but would now like to reject the funds and retract my attestation?

Rejecting Payments

If a provider rejects a payment and the associated Terms and Conditions in the attestation portal but decides to keep the funds after rejecting it in the attestation portal, what should the provider do in order to report on the use of funds kept?

How can I return a payment I received under the Provider Relief Fund?

If I rejected a Provider Relief Fund payment through one of the attestation portals and returned the payment or returned a payment through Pay.gov, but then I changed my mind, can I receive a new payment?

If a provider rejects the payment in the attestation portal but does not return the payment within 15 calendar days, is the provider still subject to the Terms and Conditions?

How should a provider return a payment it received via check?

How does a provider who received an electronic payment return funding if their financial institution will not allow them to return the payment electronically?

If I changed my mind after I rejected a Provider Relief Fund payment through one of the attestation portals and returned the payment, can I receive a new payment?

Ownership and Financial Structures

Can a provider that purchased, merged with, or consolidated with another entity (purchaser/new owner) in 2019, 2020, 2021, or 2022, accept a Provider Relief Fund payment from a seller/previous owner, and complete the attestation for the Terms and Conditions?

Can an organization that received a Provider Relief Fund payment and provided care on or after January 31, 2020 that sold, terminated, transferred, or otherwise disposed of a provider accept the payment (received via ACH or check) associated with the sold provider?

If, as a result of the sale of a practice/hospital, the TIN that received a Provider Relief Fund payment is no longer providing healthcare services as of January 31, 2020, is it required to return the payment?

Can a parent organization transfer General Distribution Provider Relief Fund payments to its subsidiaries?

Can a parent organization allocate Provider Relief Fund General Distribution to subsidiaries that do not report income under their parent’s employee identification number (EIN)?

Must a parent organization that received a Provider Relief Fund Targeted Distribution on behalf of a subsidiary in which it is has a direct ownership relationship remit the payment to the subsidiary?

If a parent organization received a Provider Relief Fund Targeted Distribution on behalf of a subsidiary, which organization should attest to the Terms and Conditions for the payment?

In the case of a parent organization with multiple billing TINs that may have each received a General Distribution payment, may the parent organization attest to the Terms and Conditions and keep the payments?

How should an organization currently undergoing a change in ownership to purchase a practice report revenue in its application?

If a seller receives Provider Relief Fund money prior to the completion of a sale, can the seller transfer some or all of the Provider Relief Fund money to the buyer?

Can an organization that sold its only practice or facility under a change in ownership in 2019 or 2020 and is no longer providing services accept payment and transfer it to the new owner?

COVID-19 Vaccine Distribution and Administration

If a provider administers a COVID-19 vaccine to a patient that has Medicare Part A, but not Part B, coverage, can the provider use Provider Relief Fund payments to cover the unreimbursed costs associated with vaccine administration?

Can Provider Relief Fund payments be used to support COVID-19 vaccine distribution?

Can Provider Relief Funds be used to cover the cost of vaccination, including doses and administration fees, for Medicare, Medicaid, or CHIP beneficiaries?

Balance Billing

How will a provider know the in-network rates to be able to comply with the requirement to bill a presumptive or actual COVID-19 patient for cost-sharing at the in-network rate?