The Department of Health and Human Services (HHS) recently revised Provider Relief Fund (PRF) eligibility and reporting requirements for its forthcoming “Phase 3” general distribution. The changes expand eligibility to a broader array of provider types including those who do not serve Medicare and Medicaid beneficiaries, such as: allopathic and osteopathic physicians; nursing service and related providers; hospice providers; respiratory, developmental, rehabilitative and restorative service providers; residential treatment facilities; laboratories; and ambulatory health care facilities, among others.
All Phase 3 applicants have until November 6, 2020 at 11:59pm EST to submit applications. Providers with validated applications will receive up to 2% of annual revenue from patient care plus an add-on payment that considers changes in operating revenues and expenses from patient care, including coronavirus-related expenses.
Additionally, in response to stakeholder concerns, HHS is revising the reporting instructions to give providers more flexibility around how they may apply PRF money toward lost revenues due to coronavirus. The Department states that providers must first reimburse patient care expenses related to coronavirus that were not reimbursed by other sources, but can then use remaining PRF funds to cover any lost revenue, which HHS defines as “a negative change in year-over-year actual revenue from patient care related sources.”