HHS is distributing this Provider Relief Fund (PRF) money and these payments do not need to be repaid. There is no direct ban under the CARES Act on accepting a payment from the Provider Relief Fund and other sources, so long as the payment from the Provider Relief Fund is used only for permissible purposes and the recipient complies with the Terms and Conditions. HRSA considers changes in ownership, mergers/acquisitions, and consolidations to be reportable events. discount pricing. The CARES Act enacted in March 2020 established the Provider Relief Fund (PRF) to provide funds to healthcare providers to prevent, prepare for, and respond to coronavirus. Investment advisory services are offered through Aprio Wealth Management, LLC, an independent Securities and Exchange Commission Registered Investment Advisor. Other Terms and Conditions apply to a longer time period, for example, regarding maintaining all records pertaining to expenditures under the Provider Relief Fund payment for three years from the date of the final expenditure. However, an out-of-network provider delivering COVID-19-related care to an insured patient may not seek to collect from the patient out-of-pocket expenses, including deductibles, copayments, or balance billing, in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider. The U.S. Department of Health and Human Services (HHS) administers the PRF. No. healthcare, More for Phase Two targeted Medicaid, CHIP, and dental providers, including assisted living facilities. Providers that have Provider Relief Fund payments that they cannot expend on allowable expenses or lost revenues by the deadline to use funds that corresponds to the Payment Received Period, as outlined in the Post-Payment Notice of Reporting Requirements, will return this money to HHS. Additional information will be posted as available on theFuture Paymentspage. The IRS further indicated that this holds true even for businesses organized as sole proprietorships. Corporate Income Tax . No. The Terms and Conditions place restrictions on how the funds can be used. and accounting software suite that offers real-time PO Box 31376 Those providers who had previously received funding but not the full 2% of patient revenue in assistance were also eligible to reapply for more funds and could receive up to 2% of patient revenue. HRSA administers both the PRF and the Uninsured Program, as well as the COVID-19 Coverage Assistance Fund. Relief Fund payments are approximately 6.2% of a provider's 2019 Medicare fee-for-service payments (not including Medicare Advantage). Providers must report on the use of Provider Relief Fund payments in accordance with legal and program requirements in the relevant Reporting Time Period. It may attest on behalf of any or all subsidiaries that qualified for a Targeted Distribution (i.e., Skilled Nursing Facility, Safety Net Hospital, Rural, Tribal, High Impact Area) payment. APRIO CLOUD is a service mark of Aprio, LLP. The parent organization may allocate the Targeted Distribution to any of its subsidiaries that are eligible health care providers in accordance with the Coronavirus Response and Relief Supplemental Appropriations Act. HHS reserves the right to audit Provider Relief Fund recipients now or in the future, and may pursue collection activity to recover any Provider Relief Fund payment amounts that have not been supported by documentation or payments not used in a manner consistent with program requirements or applicable law. In order to be able to report on the use of funds, a provider must contact the Provider Support Line at (866) 569-3522 (for TTY, dial 711) to request a change to their attestation from rejected to accepted. Once the attestation status has been updated in the attestation portal, the Provider Relief Fund Reporting Portal will subsequently be updated to accurately reflect the kept payment that the provider is required to report on during the applicable reporting period. We received a one-time payment of $1.9 million in relief funds automatically allocated to Medicare providers under the Coronavirus Aid . But if the transaction is an asset purchase (whether for some or all of the Provider Relief Fund recipient's assets), then the original recipient must use the funds for its eligible expenses and lost revenues and return any unused funds to HHS. For more information about lost revenues, please reviewHRSAs Lost Revenues Guide (PDF - 328 KB). Yes, as long as the Terms and Conditions are met. For-profit healthcare providers will be the most significantly impacted, but nonprofit providers that received distributions should consider whether the payment is for an unrelated trade or business, which may result in the payment being subject to Unrelated Business Income Tax. Whats Hot on Checkpoint for Federal & State Tax Professionals? This is the fourth round of PRF Phase 4 payments, totaling nearly $12 billion that has been distributed to more than 82,000 providers in all 50 states, Washington D.C., and five territories since November 2021. accounting, Firm & workflow Submissions must be based on the organization that exists at the time of application, not a projection of expected lost revenue from the practice that is being acquired. If a provider that sold a practice that was included in its most recent tax return gross receipts or sales (or program services revenue) figure can attest to meeting the Terms and Conditions, it may accept the funds. Additional reporting information will be forthcoming for impacted providers. They do not qualify as disaster relief payments under Section 139. To return any unused funds, use the Return Unused PRF Funds Portal. Information on future distributions will be shared when publicly available. The costs associated with administering a vaccine to a patient with Medicare Part A, but not Part B, coverage would be considered unreimbursed under the Provider Relief Fund, and payments could be used to cover incurred expenses. Step 5: Ensure that all information is correct and select "Submit.". A provider may utilize Provider Relief Fund payments to satisfy creditors' claims, but only to the extent that such claims constitute eligible health care related expenses and lost revenues attributable to coronavirus and are made to prevent, prepare for, and respond to coronavirus, as set forth under the Terms and Conditions. Additional clarification is needed regarding the reporting process. All recipients of Provider Relief Fund payments are required to comply with reporting requirements issued by the U.S. Department of Health and Human Services (HHS). HHS will not issue a new payment to a provider that received and then subsequently submitted a full or partial return of a payment, using either the attestation portal or Pay.gov, if the rejected payment and potential new payment are within the same distribution. CARES Act Provider Relief Fund: FAQs includes contact information: For additional assistance applying, please call the provider support line at (866) 569-3522; for TTY dial 711. The distributions of those monies began in late November 2021. The answer depends on the status of the TIN that received the PRF payment. Providers are required to maintain supporting documentation that demonstrates that costs were incurred during the Period of Availability, as required under the Terms and Conditions. These links capture updates from government authorities and payers and will be updated on a regular basis as new resources become available. The methodology should be documented and applied . May 5, 2020. Payment recipients must certify that the payment will only be used to prevent, prepare for, and respond to COVID-19, and that the payment shall reimburse the Recipient only for health care related expenses or lost revenues that are attributable to coronavirus not reimbursed by other sources or that other sources are obligated to reimburse. (HHS). Prior to joining the firm in 2005, he specialized in mergers & acquisitions and commercial real estate at a prominent New York law firm. At least 60% of the proceeds are spent on payroll costs. Yes, for Provider Relief Fund payments that were held in an interest-bearing account, the provider must return the accrued interest associated with the amount being returned to HHS. Although about one-third of those who applied for Phase Three funds did not receive them, HRSA allocated over $21 billion as of November 22, 2021. For the purposes of the salary limitation, the direct salary is exclusive of fringe benefits and indirect costs. Suite. The Provider Relief Fund Terms and Conditions and legal requirements authorize HHS to audit Provider Relief Fund recipients now or in the future to ensure that program requirements are met. U.S. healthcare providers may be eligible for payments from future Targeted Distributions. HHS is authorized to recover any Provider Relief Fund amounts that were made incorrectly or exceed lost revenues or expenses due to coronavirus, or do not otherwise meet applicable legal and program requirements. On January 15th, 2021, the U.S. Department of Health & Human Services (HHS) released updated guidance on the Provider Relief Fund reporting requirements. Lost revenues attributable to the coronavirus may include other income not derived from delivery of health care services that has been customarily used to support the delivery of health care services by the recipient. Act 54 of the 2021 Regular Session . making. Receive the latest updates from the Secretary, Blogs, and News Releases. 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