Late last week, Phase 3 of the Provider Relief Fund was approved to distribute an additional $20 Billion to providers impacted by COVID-19. Once again, Doctors of Chiropractic are included in this program and eligible for further relief funds. In fact, HHS indicates that, “Providers may be eligible regardless of whether they were eligible for, applied for, received, accepted, or rejected payment from prior PRF distributions.”

Beginning Monday, October 5, providers can apply for these funds by visiting the provider portal. The deadline for application is November 6.

Who is eligible?

  • Providers who previously received rejected or accepted a General Distribution Provider Relief Fund payment. Providers that have already received payments of approximately 2% of annual revenue from patient care may submit more information to become eligible for an additional payment.
  • Behavioral Health providers, including those that previously received funding and new providers.
  • Healthcare providers that began practicing January 1, 2020 through March 31, 2020. This includes Medicare, Medicaid, CHIP, dentists, assisted living facilities and behavioral health providers.

What are the criteria for payment?

  1. All provider submissions will be reviewed to confirm they have received a Provider Relief Fund payment equal to approximately 2 percent of patient care revenue from prior general distributions. Applicants that have not yet received Relief Fund payments of 2 percent of patient revenue will receive a payment that, when combined with prior payments (if any), equals 2 percent of patient care revenue.
  2. With the remaining balance of the $20 billion budget, HRSA will then calculate an equitable add-on payment that considers the following:
  • A provider’s change in operating revenues from patient care
  • A provider’s change in operating expenses from patient care, including expenses incurred related to coronavirus
  • Payments already received through prior Provider Relief Fund distributions.

What do you need to provide on the application?

You will have to provide your operating revenue and expenses for the 1st and 2nd quarter of 2020. If you have not submitted your tax information from 2019, that may be required as well.

  • “Operating revenues from patient care” means revenues that represent amounts received for the delivery of health care services directly to patients. This amount should exclude non-patient care revenue such as insurance, retail, or real estate revenues (exception for nursing and assisted living facilities’ real estate revenue where resident fees are allowable); pharmacy revenues 2 (exception when derived through the 340B program); grants or tuition; contractual adjustments from all third party payors; charity care adjustments; bad debt; any gains and/or losses on investments, and any prior Provider Relief Funds received.
  • “Operating expenses from patient care” means the operating expenses incurred as part of the delivery of care, including salaries, benefits, medical supplies, contracted and/or employed physicians, and interest and depreciations on building and equipment used in the provision of patient care. Operating expenses should exclude any non-operating expense such as costs incurred on any rental property (exception for nursing and assisted living facilities’ real estate costs where resident costs are allowable), contributions made, and gains and/or losses on investments.

What are my next steps?

Based on HHS’ statement that providers may be eligible for the new phase of funding regardless of their previous eligibility or rejection, the KAC would strongly encourage doctors to submit an application for this round of funding.

To find out more information about the Provider Relief Fund, click here.  If you believe you meet the requirements for the third round of Provider Relief Funding, simply visit the Provider Relief Fund Application and Attestation Portal, sign in (or create a new account), and complete the application. You can start that application here.