$25.5 billion additional dollars will be allocated to healthcare providers who can document revenue loss and expenses associated with the pandemic. These funds will be made available through the American Rescue Plan and Phase 4 of the Provider Relief Fund, and the application process will be combined for both distributions. HHS specifically includes chiropractors in the list of eligible providers.

ARP funds will be distributed to providers who serve Medicaid, Children’s Health Insurance Program (CHIP), or Medicare members living in rural areas as defined by the HHS Federal Office of Rural Health Policy

PRF funds will be distributed to smaller providers for revenue and expenditures lost between July 1, 2020, and March 31, 2021. The PRF Phase 4 includes bonus payments to providers who service Medicaid, CHIP, and/or Medicare members who are lower-income and have complex medical needs.

The announcement by HHS indicated that the applications will be open beginning September 29, 2021, and HHS did not indicate when the application process would end. However, according to more detailed information from HHS, most of the distributions will not occur until all applications are reviewed and compared.

There is a single application process for both programs. The application portal opens on September 29, 2021.

STEPS TO PREPARE FOR THE APPLICATION:

  • Gather your practice financial information for July 1, 2020, through March 31, 2021:
    • Tax documents.
    • Financial statements.

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Use this link to determine if any of your patients live in Federal Office of Rural Health Policy-defined rural areas.

Providers interested in applying for the funds can learn more on the Provider Relief Fund Future Payments website. The website includes a listing of eligible provider types, the information needed to apply, and how payments are calculated.

ELIGIBILITY

ARP funds will be distributed to providers who serve Medicaid, Children’s Health Insurance Program (CHIP), or Medicare members living in rural areas as defined by the HHS Federal Office of Rural Health Policy

PRF funds will be distributed to smaller providers for revenue and expenditures lost between July 1, 2020, and March 31, 2021. The PRF Phase 4 includes bonus payments to providers who service Medicaid, CHIP, and/or Medicare members who are lower-income and have complex medical needs.

APPLYING FOR APR or PRF FUNDS

There is a single application process for both programs. The application portal opens on September 29, 2021.

Providers interested in applying for the funds can learn more on the Provider Relief Fund Future Payments website. The website includes a listing of eligible provider types, the information needed to apply, and how payments are calculated.

PROVIDER RELIEF FUND PHASE 4 INFORMATION ($17 BILLION):

  • $12.75 billion:
    • Based on lost revenues and pandemic related expenses between July 1, 2020 and March 31, 2021.
    • Large providers (typically hospital systems) will receive minimum payments based on percentage of lost revenues and COVID-19 related expenses.
    • Medium providers will receive a base payment plus a supplement.
    • Small providers will receive a base payment plus a larger supplement.
    • Payments will not be greater than revenue losses and pandemic expenses.
  • $4.25 billion:
    • Also based on lost revenues and pandemic related expenses between July 1, 2020, and March 31, 2021.
    • Bonus payments issued based on the “amount and type of services provided to Medicaid, CHIP, and Medicare patients.”
    • Minimum payments distributed to providers “who serve any patients living in Federal Office of Rural Health Policy-defined rural areas.”

AMERICAN RESCUE PLAN RURAL DISTRIBUTION ($8.5 BILLION):

OTHER ANNOUNCEMENTS:

  • HHS released detailed information on how Phase 3 calculations were performed. Providers who submitted a Phase 3 application and believe they received an incorrect payment according to the released information can request a redetermination.
  • Although the KAC still strongly recommends that providers complete by September 30, 2021, their reporting for the first Provider Relief Fund Reporting time period, HHS is allowing a final 60-day grace period for this reporting. If you would like more information about the reporting requirements, you can read this article.

Questions about the funds or the application process should be directed to the Health Resources and Services Administration (HRSA) Provider Support Line at (866) 569-3522 or for TTY dial 711. The line is open Monday through Friday from 9 a.m. to 11 p.m. Eastern Time/8 a.m. to 10 p.m. Central Time. 

As more information is released about this plan, the Kentucky Association of Chiropractors will keep our members up to date.