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Maximizing Funding Options

Healthcare providers are facing unprecedented times due to the Coronavirus outbreak, and it is extremely important providers are aware of all relief options available. On March 27, 2020, the President signed into law the Coronavirus Aid, Relief, and Economic Security (CARES) Act providing over $100B in relief funds available to numerous types of healthcare providers. In addition, on April 24, 2020, the President also signed into law the Paycheck Protection Program and Health Care Enhancement Act which providers an additional $100B in relief funding. Along with these Acts, numerous other funding source programs have been available. We have compiled a summary of funds available as well as deadlines to track reporting requirements.

If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please let us know. We’re here to help!

Current Available Funds/Programs

Use the menu below to navigate to the programs you have questions about to see our quick summary overview and considerations, and feel free to download our summary guide using the form.

Download the Summary Resource Guide

Summary: Accelerated and Advance Medicare Payments (CMS)

  • Who’s Eligible? Medicare Part A providers and Part B suppliers. Billed Medicare claims with 180 days, not in bankruptcy, not being investigated, and not delinquent on Medicare overpayments
  • What are the funds for? Advance payments received for expected services provided in the future months. Critical Access Hospitals (CAH) can request 125% of payment amount while all other providers can request 100%.
  • How much funding is available? The amount depends on each individual provider’s Medicare claims in the last 3 months / 6 months of 2019.
  • When will or were funds be paid? March 2020 – April 2020
  • Will funds need to be repaid? Repayment of funds will begin through recoupment of claims 120 days after date funds are received. Inpatient acute care hospitals, children’s hospitals, certain cancer hospitals, and CAH have up to one year from the date the accelerated payment was made to repay the balance. All other Part A providers and Part B suppliers will have 210 days from the date of the accelerated or advance payment was made to repay the balance.
  • Are there any deadlines? The window for Part B providers to request funds closed on 4/26/2020.
  • Who distributes the funds? Individual MACs
  • External Links

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Coronavirus Preparedness and Response Supplemental Appropriations Act 2020

  • Who’s Eligible? Community Health Centers – FQHCs
  • What are the funds for? For expenses, including personnel costs, associated with prevention, preparedness, and response to COVID-19.
  • How much funding is available? $100M
  • How are funds allocated? Based on base value or $50k plus $15 per patient in 18 Uniform Data System (UDS) plus $30 per uninsured patient on 18 UDS.
  • When will or were funds be paid? Paid 3/24/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Reporting requirement 30 days after funds received.
  • Who distributes the funds? HRSA
  • External Links

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Coronavirus Aid, Relief, and Economic Security (CARES) Act Funding

General Distribution Payment 1:

  • Who’s Eligible? All facilities and providers that receive Medicare fee-for-service (FFS) reimbursements in 2019 are eligible for this initial rapid distribution. Payments made on TIN.
  • What are the funds for? Paid to providers to cover lost revenues and increased expenses due to the coronavirus pandemic.
  • How much funding is available? $30 billion
  • How are funds allocated? Payments for the first $30 billion were calculated based on the provider’s portion if Medicare fee-for-service revenue.
  • When will or were funds be paid? Paid between 4/10/2020 – 4/17/2020 by UnitedHealth Group
  • Will funds need to be repaid? No
  • Are there any deadlines? Need to complete attestation form 90 days after receiving funds, otherwise, HHS assumes the provider agrees to terms.
  • Who distributes the funds? HHS
  • Are there any future reporting requirements? No later than 10 days after the end of each calendar quarter, a recipient of more than $150,000 in funds must submit a report that contains the following: the total amount of funds received from HHS, detail explaining the amount of funds received that were expended.
  • External Links

General Distribution Payment 2:

  • Who’s Eligible? All facilities and providers that receive Medicare fee-for-service (FFS) reimbursements in 2019 are eligible for this initial rapid distribution. Payments made on TIN.
  • What are the funds for? Paid to providers to cover lost revenues and increased expenses due to the coronavirus pandemic.
  • How much funding is available? $20 billion
  • How are funds allocated? This distribution augments the allocation so that the whole $50B general distribution is allocated proportionally to the provider’s share of 2018 net patient revenue.
  • When will or were funds be paid? Paid 4/24/2020 – weekly basis by UnitedHealth Group
  • Will funds need to be repaid? No
  • Are there any deadlines? Need to complete attestation and financial data requests by June 3, 2020, in order to be considered for additional funding from the General Distribution pool. Otherwise, if attestation is not completed within 90 days of the date the finds were received then HHS assumes the provider agrees to terms.
  • Who distributes the funds? HHS
  • Are there any future reporting requirements? No later than 10 days after the end of each calendar quarter, a recipient of more than $150,000 in funds must submit a report that contains the following: the total amount of funds received from HHS, detail explaining the amount of funds received that were expended.
  • External Links

General Distribution Additional Funding:

  • Who’s Eligible? All facilities that received either the $30 billion or $20 billion payments.
  • What are the funds for? Paid to providers to cover lost revenues and increased expenses due to the coronavirus pandemic.
  • How much funding is available? Paid subject to available funding – No max amount provided.
  • How are funds allocated? Based on updated information submitted on the second portal related to the $20 billion payment.
  • When will or were funds be paid? Not specified
  • Will funds need to be repaid? No
  • Are there any deadlines? Need to complete attestation and financial data requests by June 3, 2020, in order to be considered for additional funding from the General Distribution pool.
  • Who distributes the funds? HHS
  • Are there any future reporting requirements? No later than 10 days after the end of each calendar quarter, a recipient of more than $150,000 in funds must submit a report that contains the following: the total amount of funds received from HHS, detail explaining the amount of funds received that were expended.
  • External Links

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Medicaid/CHIP Distributions

  • Who’s Eligible? Providers that:
    • Must not have received payment from the $50 billion General Distribution; and
    • Must have directly billed Medicaid/CHIP programs or Medicaid managed care plans for healthcare-related services during the period of January 1, 2018, to December 31, 2019, or (ii) own (on the application date) an included subsidiary that has billed Medicaid for healthcare-related services during the period of January 1, 2018, to December 31, 2019; and
    • Must have either (i) filed a federal income tax return for fiscal years 2017, 2018 or 2019 or (ii) be an entity exempt from the requirement to file a federal income tax return and have no beneficial owner that is required to file a federal income tax return. (e.g. a state-owned hospital or healthcare clinic); and
    • Must have provided patient care after January 31, 2020; and
    • Must not have permanently ceased providing patient care directly, or indirectly through included subsidiaries; and
    • If the applicant is an individual, have gross receipts or sales from providing patient care reported on Form 1040, Schedule C, Line 1, excluding income reported on a W-2 as a (statutory) employee.
  • What are the funds for? Paid to providers to cover lost revenues and increased expenses due to the coronavirus pandemic.
  • How much funding is available? $15 billion
  • How are funds allocated? The payment to each provider will be at least 2 percent of reported gross revenue from patient care; the final amount each provider receives will be determined after the data is submitted, including information about the number of Medicaid patients providers serve.
  • When will or were funds be paid? Unknown when payments will be made
  • Will funds need to be repaid? No
  • Are there any deadlines? Providers must submit their gross revenues from patient care for CY 2017, or 2018 or 2019 by July 20, 2020.
  • Who distributes the funds? HHS
  • Are there any future reporting requirements? Not specified
  • External Links

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Targeted Distributions

High Impact Areas:

  • Who’s Eligible? Hospitals in areas that have been particularly impacted by the COVID-19 outbreak with high COVID-19 cases.
  • What are the funds for? To cover high cost incurred by hospitals that have been impacted by high COVID-19 cases.
  • How much funding is available? $12 billion
  • How are funds allocated? $10 billion based on admission and $2 billion based on Medicare DSH funding. Based on TIN, NPI, ICU beds, positive COVID-19 cases submitted by the Hospitals on April 25, 2020, HHS determine facilities with more than 100 COVID-19 admission would qualify for this distribution.
  • When will or were funds be paid? Paid on 5/7/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Attestation needs to be completed within 90 days of the date payment was received.
  • Who distributes the funds? HHS
  • Are there any future reporting requirements? Facilities need to continue to update data on an ongoing basis in order to be considered for additional funding.
  • External Links

Rural Distribution:

  • Who’s Eligible? Rural Health Clinics and Rural Hospitals
  • What are the funds for? Paid to rural providers to cover lost revenues and increased expenses due to the coronavirus pandemic.
  • How much funding is available? $10 billion
  • How are funds allocated? Funds allocated based on “operating expenses” recognizing the precarious financial position many rural providers are in due to declines in review or increased in expenses due to the pandemic. Rural is based on a rural commuting score between 4 and 10. Hospital funds allocated based on sliding scale: 50% of first $2M op exp = $1M 40% of second $2M op exp = $.8M 30% of third $2M op exp = $.6M 20% of fourth $2M op exp = $.4M 10% of fifth $2M op exp = $.2M – add that up and you get $3M base for 10M op exp $10M and over is $3M base payment. Add-on to base payment: 2% of operating expense including the base portion (approximate 2%). Freestanding RHC received a $100K base payment with additional funding of 3.6% of operating expenses.
  • When will or were funds be paid? Paid on 5/6/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Attestation needs to be completed within 90 days of the date payment was received.
  • Who distributes the funds? HHS
  • Are there any future reporting requirements? Facilities need to continue to update data on an ongoing basis in order to be considered for additional funding.
  • External Links

Indian Health Distribution:

  • Who’s Eligible? Indian Health Service facilities
  • What are the funds for? Support healthcare-related expenses or lost revenue attributable to COVID-19.
  • How much funding is available? $400 million
  • How are funds allocated? IHS and tribal hospitals will receive a $2.81 million base payment plus three percent of their total operating expenses. IHS and tribal clinics and programs will receive a $187,000 base payments plus five percent of the estimated service population multiplied by the average cost per user. IHS urban programs will receive a $181,000 base payment plus six percent of the estimated service population multiplied by the average cost per user
  • When will or were funds be paid? Paid on 5/22/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Attestation needs to be completed within 90 days of the date payment was received.
  • Who distributes the funds? HHS
  • Are there any future reporting requirements? Not specified
  • External Links

Community Health Centers Distributions:

  • Who’s Eligible? Community Health Centers and FQHCs
  • What are the funds for? Funds may be used to detect coronavirus; prevent, diagnose, and treat COVID-19, and maintain or increase health capacity and staffing levels to address this public health emergency.
  • How much funding is available? $1.3 billion
  • How are funds allocated? The base value of $503k plus $15 per patient in 2018 Uniform Data System (UDS) plus $30 per uninsured patient on 2018 UDS.
  • When will or were funds be paid? Paid on 4/8/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Reporting requirement 30 days after funds received.
  • Who distributes the funds? HRSA
  • Are there any future reporting requirements? Reporting requirement 30 days after funds received.
  • External Links

Telehealth Distributions:

  • Who’s Eligible? Medical schools and academic teaching hospitals, nonprofit hospitals, rural health clinics, community health centers, and long-term care facilities
  • What are the funds for? To help eligible health care providers maximize their provision of connected care services using telehealth technology during the COVID-19 pandemic.
  • How much funding is available? $200 million
  • How are funds allocated? Not specified
  • When will or were funds be paid? Payments made on a rolling basis
  • Will funds need to be repaid? No
  • Are there any deadlines? The application window opened on 4/13/2020 and funding decisions are made on a rolling basis
  • Who distributes the funds? FCC
  • Are there any future reporting requirements? Not specified
  • External Links

Skilled Nursing Facility Distributions:

  • Who’s Eligible? Skilled Nursing Facilities with 6 or more certified beds
  • What are the funds for? These additional funds may help nursing homes address critical needs such as labor, scaling up their testing capacity, acquiring personal protective equipment, and a range of other expenses directly linked to this pandemic.
  • How much funding is available? $4.9 billion
  • How are funds allocated? Each SNF will receive a fixed distribution of $50,000, plus a distribution of $2,500 per bed.
  • When will or were funds be paid? Paid on 5/22/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Attestation needs to be completed within 90 days of the date payment was received.
  • Who distributes the funds? FCC
  • Are there any future reporting requirements? Not specified
  • External Links

Safety Net Hospital Distributions:

  • Who’s Eligible? Acute Care and Children’s hospitals
  • What are the funds for? Paid to providers to cover lost revenues and increased expenses due to the coronavirus pandemic.
  • How much funding is available? $10 billion
  • How are funds allocated? Hospitals with Medicare Disproportionate Payment Percentage (DPP) of 20.2% or greater, average uncompensated care per bed of $25,000 or more, and profitability of 3% or less.
  • When will or were funds be paid? Paid on 6/9/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Attestation needs to be completed within 90 days of the date payment was received.
  • Who distributes the funds? HHS
  • Are there any future reporting requirements? Not specified
  • External Links

Rural Health Clinic Distributions:

  • Who’s Eligible? Rural Health Clinics
  • What are the funds for? These funds are intended to help RHCs with COVID-19 testing and related expenses.
  • How much funding is available? $225 million
  • How are funds allocated? Each clinic is eligible to receive a flat amount of just under $50k.
  • When will or were funds be paid? Paid on 5/20/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Not specified
  • Who distributes the funds? HRSA
  • Are there any future reporting requirements? Not specified
  • External Links

Community Health Center and FQHC Distributions:

  • Who’s Eligible? Health Centers program including FQHCs
  • What are the funds for? Funding may support a wide range of testing and testing-related in-scope activities that may change as COVID-19 needs evolve within the community
  • How much funding is available? $600 million
  • How are funds allocated? Each Health Center received a base value of $98,329 plus $15 per patient reported in the 2019 UDS.
  • When will or were funds be paid? Paid on 5/4/2020
  • Will funds need to be repaid? No
  • Are there any deadlines? Reporting requirement 30 days after funds received.
  • External Links

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Public Health and Social Services Emergency Fund (HHS)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Suspension of Medicare Sequester (CMS)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: 20% Medicare Add-On Payment for COVID-19 Cases (CMS)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Paycheck Protection Program (SBA)

  • Who’s Eligible? Hospitals, health systems, and other healthcare providers that qualified for the original $50B general fund distributions.
  • What are the funds for? Aimed at reimbursing providers for healthcare expenses and lost revenue attributable to COVID-19.
  • How much funding is available? $75 billion
  • How are funds allocated? Not specified
  • When will or were funds be paid? Not specified
  • Will funds need to be repaid? No
  • Are there any deadlines? Not specified
  • Are there any future reporting requirements? Not specified
  • Other Resources: Learn more about PPP loans here.

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Economic Injury Disaster Loan (EIDL) (SBA)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Cooperative Agreement for Emergency Response: Public Health Crisis Response (CDC)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Capital Payments for Extraordinary Circumstances (CMS)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Main Street Lending Program (Assistance for Mid-sized Businesses) (Treasury/Federal Reserve)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Employer Payroll Tax Delay (IRS)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Supplemental Awards for Federally Qualified Health Centers (FQHC)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Substance Abuse and Mental Health Services Administration (SAMHSA)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Coverage of COVID-19 Testing

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: COVID-19 Claims Reimbursement to Health Care Providers for Testing/Treatment of the Uninsured

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Delay of Disproportionate Share Hospital Reductions 

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Employee Retention Credit

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: FEMA Public Assistance (PA) Information

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: COVID-19 Telehealth Program (FCC)

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Small Rural Hospital Improvement Program (SHIP) Grant

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

Summary: Hospital Assessment Fee Reduction for Indiana Hospitals

Download the slides: If you’d like to download the summary of all programs, fill out the form at the top of this page.

Learn more: If you are looking to learn more about which funding opportunities are best for your organization or how to validate the use of the funds you’ve already received, please contact us using the form at the bottom of this page.

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Resources

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We have a short PRF update this week as the ARP Rural application deadline approaches. Reminder: The application portal closes at 11:59 p.m. on Tuesday, October 26. Before you can fill out and submit your application, your organization needs to validate or revalidate your TIN. HRSA says it could take up to 4 days, but […]

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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 […]

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