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On September 10th, 2021, The Biden-Harris Administration announced $25.5 Billion will be available for Covid provider funding. The funding includes several facets such as the following: 

  • $8.5 billion in American Rescue Plan (ARP) assets for providers serving rural Medicaid, Children’s Health Insurance Program (CHIP), or Medicare patients 
  • $17 billion for Provider Relief Fund (PRF) Phase 4 for many providers who document expenses and revenue loss due to pandemic related issues 

Who Receives Reimbursements? 

  • Small providers serving isolated and vulnerable groups. The revenues and expenses lost due to COVID-19 implications are at a larger rate than larger organizations. 
  • Eligible for bonus payments: Low income and complex medical providers, such as Medicaid, CHIP, and Medicare. Bonus payments will be priced often higher than Medicare rates in order to help providers serving vulnerable populations.  

The PRF Phase 4 payouts will be based on the expenditures lost between July 1st, 2020, and March 31st, 2021. The payments rely on the requirements associated with the Coronavirus Response and Relief Supplemental Appropriations Act of 2020.  

Grace Period:  

Due to the recent country-wide problems associated with both the Delta variant and natural disasters, HHS is implementing a 60-day period of grace for providers to complete the first PRF Reporting period. These 60 days will allow providers to comply with PRF Reporting requirements if the September 30th, 2021 deadline is unable to be met on time (Read more here: PRF Reporting requirements). 

How to Apply:  

Providers can apply for programs through one application, which will be accessible starting September 29th, 2021. In calculating the payments, HRSA will use current claims data from Medicaid, Medicare, and CHIP.  

For more information check out the HHS announcement. If you have any questions, contact us with your concerns.