October 26, 2020

HHS Updates Provider Relief Fund Reporting Requirements, Expands Provider List

On Oct. 22, the United States Department of Health and Human Services (HHS) announced that they are expanding Phase 3 Funding to a broader range of provider applicants (including chiropractors, eye and vision providers, dental providers, etc.) and are updating the Provider Relief Fund (PRF) reporting requirements. HHS is updating the most recent PRF reporting instructions to broaden the use of provider relief funds.

Under Phase 3 General Distribution, which began accepting applicants on Oct. 5, 2020, HHS invited providers that had already received PRF payments to apply for additional funding that considers changes in patient care operating revenue and expenses caused by COVID-19. HHS has expanded the pool of provider applicants for these funds, regardless if they accept Medicare or Medicaid.

HHS has frequently updated its terms of use for the Provider Relief Funds. In September, HHS clarified that for purposes of relief payments for lost revenue due to COVID-19, recipients must submit information showing a negative change in year-over-year net patient care operating income. In response to feedback and concern from stakeholders, HHS is amending the reporting instructions to allow providers that have reimbursed healthcare-related expenses attributable to COVID-19 that were unreimbursed by other sources, to use remaining PRF funds to cover any lost revenue, measured as a negative change in year-over-year actual revenue from patient care related sources.

See Policy Memorandum and Amended Reporting Requirements Guidance for additional information.