As part of the CARES Act, $100 billion was appropriated to the Department of Health and Human Services (HHS) to reimburse healthcare providers for expenses and lost revenue due to the COVID-19 pandemic because many providers have suspended elective procedures and/or incurred additional costs related to the treatment and diagnosis of COVID-19 patients.
Of the $100 billion appropriated, a $30 billion grant was distributed to providers who received Medicare fee for service reimbursements in 2019. This initial $30 billion was set to be distributed immediately, with payments beginning to arrive to eligible providers on April 10.
How do I know if I received this stimulus?
- The payments came to providers via Optum Bank with “HHSPAYMENT” in the description. Those providers who normally receive a paper check for reimbursement from CMS will receive a paper check in the mail.
- The payments are calculated using the following methodology: the provider’s share of total Medicare FFS reimbursements in 2019 multiplied by the total FFS payments in 2019 over the $30 billion in grants to be distributed (a factor of approximately 6.2%).
Is there anything I need to do to accept this payment?
Yes! The Department of Health and Human Services has extended the deadline for healthcare providers to attest to receipt of payments from the Provider Relief Fund and accept the Terms and Conditions. Providers will now have 45 days, increased from 30 days, from the date they receive a payment to attest and accept the Terms and Conditions or return the funds.
With the extension, NOT returning the payment within 45 days of receipt of payment will be viewed as acceptance of the Terms and Conditions.
We encourage all of our clients to log in to the attestation portal (https://covid19.linkhealth.com/#/step/1) to confirm receipt of the funds and agree to the terms and conditions within 45 days of receipt of the funds.
Do the funds need to be repaid?
No – as long as the terms and conditions are followed. The full terms and conditions are available here – https://www.hhs.gov/sites/default/files/relief-fund-payment-terms-and-conditions.pdf
Are there any reporting requirements?
HHS requires that providers who receive payments over $150,000 submit quarterly reports to HHS and the Pandemic Response Accountability Committee. Additional clarification is needed regarding the reporting process. Other recipients may be required to submit reports with HHS on an as-needed basis.
Providers need to utilize a system and process to document their use of funds. If providers cannot properly support their use of funds, then HHS has the right to recover amounts paid.
Will there be another round of funding?
The U.S. Department of Health and Human Services (HHS) on April 23, 2020, announced a $20 billion phase two round of funding for health care providers from the $175 billion CARES Act Provider Relief Fund. HHS is dispersing the additional $20 billion to providers to replace lost revenue due to the Covid-19 pandemic. The funds are grants and do not need to be repaid.
- Please note to obtain funds for phase two of funding you are REQUIRED to apply to HHS to receive phase two payments. Providers who have already received money from the Provider Relief Fund were heavy Medicare participating providers. See link here for more information https://www.cmadocs.org/newsroom/news/view/ArticleId/48854/HHS-Provider-Relief-Fund-portal-now-open