We are two weeks away from the deadline to submit your Phase 4 and ARP Rural Payment Application. These applications are due on October 26.

If you haven’t started the process yet, please do so this week. Part of the application involves validating your Tax ID Number (TIN) with the IRS, and HRSA is saying that can take up to four days. If you wait until the weekend before the deadline, it may be too late to complete your application.

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Below are instructions on how to complete your application:

1. Set up a One Healthcare ID or reset your password from previous use with HRSA and Optum.
2. Validate your TIN as the first step of the application. Even if you have done this for past applications you will be required to do this again. Start with the blue box labeled “Add Organization TIN” and follow the questionnaire.
   1. You will need your W-9 to ensure the spelling of your entity’s name is the same in the portal. An extra space, period or comma will cause the validation to be rejected and you will have to start the process over.
   2. You can also add subsidiary TIN’s if you are filling out the application for multiple organizations.
   3. This section will also ask for your Group or Individual NPI numbers as well as Medicaid billing numbers. Make sure you gather a list of all of those for your organization.
3. Fill out the 2-page application once your TIN has been validated. The application asks for the most recent annual total and patient care revenues from tax returns or other appropriate documents. It also asks for total patient revenues and expenses for 6 historical quarters ranging from Q1 2019 through Q1 2021. Be sure to have your P&L’s and income statements compiled into quarters so you can enter these numbers in quickly. You will also need to upload all supporting documentation. We’ve included a copy of the application for you to download and print to help accumulate everything here.
4. Make sure to check “YES” on the application question for being considered for ARP Rural payments. This is the only way to gain access to these payments and even if your organization is located in an urban location, if you served rural patients, you are eligible for consideration of a payment.

Contact Us

If you have questions about the Phase 4 and ARP Rural Payment Application or Provider Relief Funds in general, please contact your local Blue & Co. advisor or one of our PRF experts below.

Michael Alessandrini, Director 

Peter Szostak, Senior Manager

Greg Heitkamp, Senior Manager

Mark Daffer, Manager