On Friday, June 11, 2021, the Department of Health and Human Services (HHS) released its updated Post-Payment Notice of Reporting Requirements.The June 11 Notice establishes (1) the deadline by which a recipient must use its funds, and (2) the deadline by which a recipient must report on its use of funds. The HHS Provider Relief Fund payments data is displayed in an interactive map, state-summary table and in an interactive details table. A slew of notable activity surrounding revised reporting requirements for the Provider Relief Fund (PRF) has occurred, including: The US Department of Health and Human Services (HHS) released revised reporting requirements on June 11, 2021. The inclusion of the for-profit subsidiary in the consolidated entity’s Single Audit would meet the for-profit entity’s responsibility for an audit under 45 CFR § 75.501(i). This may include patients on observation status who are cared for no longer than 72 hours but not formally admitted to a hospital. Provider Relief Fund General and Targeted Distribution payments (CFDA 93.498) and Uninsured Testing and Treatment reimbursement payments (CFDA 93.461) to non-Federal entities are Federal awards and must be included in determining whether an audit in accordance with 45 CFR Part 75, Subpart F is required (i.e., annual total federal awards expended are $750,000 or more). For each calendar year of reporting, the applicable quarters where lost revenues are demonstrated are totaled to determine an annual lost revenues amount. On June 11, 2021, the Department of Health and Human Services (HHS) announced the Provider Relief Fund (PRF) portal will open for reporting on July 1, 2021. Expenses for capital equipment and inventory may be fully expensed only in cases where the purchase was directly related to prevent, prepare for and respond to the coronavirus. The net unreimbursed expenses attributable to coronavirus reported to HRSA will not be used in the calculation of expenses or lost revenues. Recipients of this funding will be able to submit a consolidated report that distinguishes use of SNF and Nursing Home Infection Control Distribution funds from use of other General and Targeted Distribution payments. The Department of Health and Human Services (HHS) originally set January 15 as the opening date for its Provider Relief Fund reporting portal, with the first deadline set a month later on February 15, but that date was repeatedly pushed back. For FYE’s of June 30, 2021 through FYEs of December 30, 2021, recipients must report on the SEFA (or other schedules) the total expenditures and/or lost revenues included in the Period 1 report submission to the Provider Relief Fund Reporting Portal. Semiannual Report to Congress However, there is currently no deadline to complete this registration. How to Apply For Funding . Provider Relief Fund (PRF) Reporting Portal is only compatible with the most current stable version of Edge, Chrome and Mozilla Firefox. Welcome to the Provider Relief Fund Reporting Portal Register and create an account to get started. Provider Relief Fund payments may be applied to the remaining expenses or cost, after netting the other funds received or obligated to be received which offset those expenses. Any recipients identified as having provided inaccurate information to HHS will be subject to payment recoupment and other legal action. On Friday, 11 June, HHS released long-awaited updates to its reporting requirements for recipients of Provider Relief Fund PRF payments. Therefore, if Medicare or Medicaid makes a payment to a provider based on the provider’s Medicare or Medicaid cost, such payment generally is considered to fully reimburse the provider for the costs associated with providing care to Medicare or Medicaid patients and no money from the PRF would be available for those identified Medicare and Medicaid costs. Now that the end of the year has passed, it is time to get ready to file your initial Provider Relief Fund Report to the Department of Health and Human Services (HHS) for coronavirus related expenses and lost revenues. “The remainder of the funds must be released,” AHCA said in a statement released on Tuesday. On October 1, 2020, the U.S. Department of Health and Human Services Enhanced Provider Relief Fund Payment Portal. There is no offset. Read more about the calculation of the Medicaid hospital-specific DSH limit - PDF. 1. If a provider has submitted an application to FEMA, but has not yet received the FEMA funds, the provider should not report the requested FEMA amounts in the Provider Relief Fund report. Tax ID Number (TIN) [or other number submitted during the application process (e.g., Social Security Number, Employer Identification Number (EIN)], Business name of the Reporting Entity (as it appears on IRS Form W-9), Contact information (i.e., name, phone number, email) of the person responsible for submitting the report, Address (i.e., street, city, state, five-digit zip code) of the Reporting Entity as it appears on IRS Form W-9), TIN(s) of subsidiaries (if a provider is reporting on behalf of subsidiary(ies) - in a list delimited by commas, e.g.,123456789,987654321,135791357), Payment information (for any of the payments received), Mode of payment (check or direct deposit ACH), Use of General and Targeted Distribution (including Skilled Nursing Facility and Nursing Home Infection Control Distribution) Payment(s), Unreimbursed Expenses Attributable to Coronavirus, Lost Revenues Attributable to Coronavirus (and additional revenue information depending upon the option selected to calculate lost revenues). Reporting Entities are required to maintain adequate documentation to substantiate that these funds were used for health care-related expenses or lost revenues attributable to coronavirus, and that those expenses or losses were not reimbursed from other sources and other sources were not obligated to reimburse them. If the personnel salaries are reimbursed by any other source of funding they cannot be also reimbursed by the Provider Relief Fund. As you prepare to report on funds, here’s what you need to know. The U.S. Department of Health and Human Services hasn’t provided recent updates on the reporting timeline for Provider Relief Fund distributions, but it has updated the 60-page list of FAQs. Therefore, the timing of SEFA reporting of Provider Relief Fund payments will be as follows: No. These reporting requirements do not apply to recipients of funds from: What data categories are required for reporting? On June 11, 2021, the Department of Health and Human Services (HHS) released revised reporting requirements for healthcare providers who received Provider Relief Fund (PRF) payments. Other sources include fundraising revenues, grants or donations if they contribute to funding patient care services. Outpatient Visits: number of in-person or virtual patient encounters with a clinician in an office-based, clinic, or hospital outpatient department setting that do not require an inpatient admission. The HHS Provider Relief Reporting Portal isn’t actually open for reporting, but it will allow you to register. The only guidance HHS provides to auditors is through the Office of Management and Budget Compliance Supplement. HHS Provider Relief Fund: Reporting Requirements and Reporting Portal Jul 13, 2021. (BDO Employees): 888-236-9111. Register, complete and submit your report now, or continue reading for instructions on how to use the portal. Federal regulations at 45 CFR § 75.501 or “Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards” (Uniform Guidance) permits a for-profit subsidiary to be included in the Single Audit, as long as the for-profit subsidiary’s operations are included in the consolidated financial statements and program expenditures are included in the Schedule of Expenditure of Federal Awards (SEFA). Complete and submit your report via the Provider Relief Fund Reporting Portal. No Does the system PTA - 2: include a website or online application? This dataset represents the list of providers that received a payment from the Provider Relief Fund and who have attested to receiving one or more payments and agreed to the Terms and Conditions. In addition, Reporting Entities who are using a portion of their funds for lost revenues may be required to upload supporting documentation when reporting on their calculation of lost revenues. The first step of the application process is to submit the provider’s TIN for HHS to validate. All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. On July 1, 2021, the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS), opened the Provider Relief Fund (PRF) online reporting portal. Illustrated across 10 expertly written chapters, this text features a longitudinal timeline with the presentation of evidence-based information drawn from historical, political, and clinical sources. Providers should return unused funds as soon as possible after submitting their report. No. New Provider Relief Fund Details Released. Click on the . Yes, lost revenues are calculated for each quarter during the period of availability, as a standalone calculation. Expenses for capital facilities may be fully expensed only in cases where the purchase was directly related to preventing, preparing for and responding to the coronavirus. If FEMA funds are received during the same Payment Received Period in which provider is reporting on use of Provider Relief Fund payments, the receipt and application of each payment type is required in the Provider Relief Fund reporting process. Reporting Entities may use budgeted revenues if the budget(s) and associated documents covering the Period of Availability were established and approved prior to March 27, 2020. On June 11, the Department of Health & Human Services (HHS) released (more) revisions to the Provider Relief Fund (PRF). HHS considers taxes imposed on Provider Relief Fund payments to be "healthcare related expenses attributable to coronavirus" that are reimbursable with Provider Relief Fund money, except for Nursing Home Infection Control Distribution payments. Providers must follow their basis of accounting (e.g., cash, accrual, or modified accrual) to determine expenses. Background. Reminder: HHS Provider Relief Fund Reporting Portal Now Open. The Department of Health and Human Services (HHS) has begun distributing the remaining $20 billion of the $50 billion “general distribution” to Medicare providers, which represents a portion of the provider relief fund established in the CARES Act. The Medicare program enables millions of beneficiaries to obtain health care services; however, lacks many of the essential elements of a high-quality, high-value and efficient health system. Source: hhs.gov. The Department of Health and Human Services (HHS) and the Health Resources and Services Administration (HRSA) opened the Provider Relief Fund Reporting portal. The CARES Act Provider Relief Fund Payment Attestation Portal or the Provider Relief Fund Application and Attestation Portal will guide providers through the attestation process to reject the funds. The Provider Relief Fund (PRF) supports healthcare providers in the battle against the COVID-19 pandemic. Yes, expenses incurred by providers to secure and maintain adequate personnel, such as offering hiring bonuses and retention payments, child care, transportation, and temporary housing, are deemed to be COVID-19-related expenses if the activity generating the expense was newly incurred after the declaration of the Public Health Emergency and the expenses were necessary to secure and maintain adequate personnel. However, HHS has received feedback indicating that some subsidiary TINs accepted a General Distribution payment prior to the release of this guidance, and that they would have had their parent TIN accept the money, had they known earlier of HHS's position. SUBMISSION WARNING: Don’t make the mistake of rushing in and submitting your data to avoid missing your reporting deadline. Any provider that received and retained payments exceeding $10,000 in aggregate on or before June 30, 2020, must use those funds by June 30, 2021, and complete the reporting process by September 30, 2021. HHS began issuing notices on post-payment reporting requirements in July 2020. On January 15, 2021, HHS issued updated requirements to reflect language in the Coronavirus Response and Relief Supplemental Appropriations Act of 2021 and opened registration for the reporting portal. Entrance fee amortization must be handled in a consistent manner in both 2019 and 2020. No. Reporting HHS Funds. The Provider Relief Fund permits reimbursement of expenses related to coronavirus provided those expenses have not been reimbursed from other sources or that other sources are not obligated to reimburse. Health care-related operating expenses are limited to costs incurred to prevent, prepare for, and respond to coronavirus. Personnel will be classified as either “clinical” or “non-clinical” staff using the following categories: a) full-time; b) part-time; c) contractor; d) furloughed; e) separated; and f) hired. The Payment Received Periods described in the June 11, 2021 Post-Payment Notice of Reporting Requirements determine the period of availability of funding and when reports are due. Provider Relief Fund Reporting Portal is Now Open. Providers may include staff that were furloughed as a result of the coronavirus in the counts of FTEs. The information in this article is based on the latest guidance available as of the date of publication. Yes, Health Center Program COVID-19 Grants awarded to FQHCs and FQHC Look-Alikes for costs for expenses or losses that are potentially eligible for payments under the Provider Relief Fund would need to be fully drawn down before Provider Relief Fund payments could be used during the applicable period of availability. HHS encourages application sooner rather than later. Recipients who received one or more payments exceeding $10,000, in the aggregate, during a Payment Received Period are required to report in each applicable Reporting Time Period as outlined in the table below. All recipients of Provider Relief Fund (PRF) payments must comply with the reporting requirements described in the Terms and Conditions and specified in directions issued by the U.S. Department of Health and Human Services (HHS) Secretary. April 27, 2020. The parent entity may report on these General Distribution payments regardless of whether the parent or the subsidiary attested to the Terms and Conditions. On October 1, 2020, the U.S. Department of Health and Human Services (“HHS”) announced $20 billion in new funding for providers affected by COVID-19 as part of Phase Three of the General Distribution under the Provider Relief Fund established by the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”). • HHS must submit a report to the Appropriations Committees of both the US House of Representatives and the US Senate every 60 days until the Provider Relief Fund is expended. Eligible providers should review the HHS Medicaid Provider Distribution Instructions and application form to gather the appropriate documentation. On July 1, 2021, the Provider Relief Fund (PRF) reporting portal opened. Providers apply through the CARES Act Provider Relief Fund Payment Attestation Portal. Providers need to retain original documentation for three years after the date of submission of the final expenditure report, in accordance with 2 CFR 200.333. Please refer to the 2021 OMB Compliance Supplement, available at https://www.whitehouse.gov/wp-content/uploads/2021/08/OMB-2021-Compliance-Supplement_Final_V2.pdf (PDF - 18.7 MB), for additional information. This extension applies to recipients of COVID-19 related Federal financial assistance awards, as well as recipients affected by COVID-19. An allowable expense under the Provider Relief Fund must be used to prevent, prepare for and respond to Coronavirus. Reporting is based on funds aggregating $10,000 per Payment Received Period rather than $10,000 cumulatively across all PRF payments. HHS will be requiring recipients to submit future reports relating to the recipient's use of its PRF money. For more news and specials on immunization and vaccines visit the Pink Book's Facebook fan page The parent organization as the original recipient of the payment must report on the use of funds in accordance with the Coronavirus Response and Relief Supplemental Appropriations Act. Recipients must use grant funding awarded by HRSA for the purposes (as budgeted) approved by HRSA. Phase 3 of the Provider Relief Payment Fund is open for applications from October 5 through November 6, 2020. June 23 update: The American Hospital Association (AHA) sent a letter to Xavier Becerra, secretary of the U.S. Department of Health and Human Services (HHS), requesting an extension of Provider Relief Fund deadlines for additional recipients. The PRF Reporting Portal is now open for reporting on the use of funds. The information in this article is based on the latest guidance available as of the date of publication. Technical Support: 844-580-6963. On July 1, 2021 the Department of Health and Human Services (HHS) opened the Provider Relief Fund (PRF) portal. Recipients must support all expenses with adequate documentation and maintain documents to substantiate that these funds were used for health care-related expenses or lost revenues attributable to Coronavirus. hތ�OS�0ſ�;��&M�����"��3:��J�m���M mD9�&�o��AI�*��%��P Yes, multiple for-profit entities under common control that issue combined financial statements can have one financial-related audit of all HHS awards that incorporates each of the entities. Providers that are required to report and do not submit a completed report by the applicable deadlines will be deemed out of compliance with the program Terms and Conditions and may be subject to recoupment. However, the costs must be incurred before the Deadline to Use Funds. Provider Relief Fund payments may be used to cover those quarters where patient care revenue losses occurred as long as those losses were attributable to coronavirus. Recipients of Provider Relief Fund payments do not need to submit a separate quarterly report to HHS or the Pandemic Response Accountability Committee. HHS will develop a report containing all information necessary for recipients of Provider Relief Fund payments to comply with this provision. Providers must The U.S. Department of Health and Human Services’ (HHS) long-awaited Provider Relief Fund (PRF) Reporting Portal is now open for providers who need to report on the use of funds in Reporting Period 1. Yes, providers that already have a cost allocation methodology in place at the time they received funds, may allocate normal and reasonable overhead costs to their subsidiaries, which may be an eligible expense if attributable to coronavirus and not reimbursed from other sources. When reporting use of Provider Relief Fund payments toward lost revenues attributable to coronavirus, Reporting Entities may use budgeted revenues if the budget(s) and associated documents covering calendar year 2020 were established and approved prior to March 27, 2020. Providers who are required to report during Reporting Period 1 have until September 30, 2021, to enter the Portal and submit their information. Nor has HHS provided substantive guidance […] ENHANCED PROVIDER RELIEF FUND PORTAL. For additional information on capital depreciation, please refer to the other Frequently Asked Questions related to capital equipment and capital facility projects. To help ensure that these provider relief funds are used for patient care, PRF recipients will be required to notify the HHS Secretary of any merger with, or acquisition of, another health care provider during the period in which they can use the payments. Deliberate omission, misrepresentation, or falsification of any information contained in payment applications or future reports may be punishable by criminal, civil, or administrative penalties, including but not limited to revocation of Medicare billing privileges, exclusion from federal health care programs, and/or the imposition of fines, civil damages, and/or imprisonment. Dr. O'Connell's collection of stories and essays, written during thirty years of caring for homeless persons in Boston, gently illuminates the humanity and raw courage of those who struggle to survive and find meaning and hope while living ... For more information on these requirements. �����"�6���dA$lJW*W����G���N��un ��.+�XS�&uy�ɓ�����d:��۵��F�j#�4���0NK�����h��٤ֳb���Z��|7��8ԌKzw�}R�bP�[m��5zՂ��T]��v��S��. Consistent with other longstanding guidance, the parent TIN may use the money and/or allocate the money to other subsidiary TINs, as it deems appropriate. Read the Reporting Requirements Notice (PDF - 232 KB) and reference the Reporting and Auditing Frequently Asked Questions. Similar to non-federal entities, a for-profit entity’s SEFA (or other schedules) is linked to its report submissions to the Provider Relief Fund Reporting Portal. Today’s blog provides a high-level look at the key changes only. The first step of the application process is to submit the provider’s TIN for HHS to validate. Lost revenues or expenses must only have been incurred during the Period of Availability correlating to the Payment Received Period as described in the June 11 Post-Payment Notice of Reporting Requirements. Non-Federal Entities subject to Single Audit requirements can find guidance in the 2020 Compliance Supplement Addendum, which is available at https://www.whitehouse.gov/wp-content/uploads/2020/12/2020-Compliance-Supplement- Addendum_Final.pdf (PDF - 1.66 MB) and in the forthcoming 2021 Compliance Supplement. For Targeted Distribution payments: The original recipient of a Targeted Distribution payment is always the Reporting Entity. In light of these timing concerns, HHS is revising its prior guidance and clarifying that, for General Distribution payments only, a subsidiary TIN can transfer its General Distribution payment to a parent TIN; this is true even if a subsidiary TIN initially attested to accepting a General Distribution payment. In the case of a change in ownership after receipt of a Provider Relief Fund payment, the responsibility for reporting in the Provider Relief Fund Reporting Portal is dependent on whether funds were from the General or Targeted Distribution. In June, HHS released revised reporting requirements or health care providers who received funding from the Provider Relief Fund. 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