Provider Relief Fund: Information and Resources

The portal can be found here.

Most pediatric practices that have directly billed Medicaid or CHIP between January 2019 and December 2020 are eligible to apply for funding. For a complete list of eligibility criteria for both programs, see this list of frequently asked questions from the Health Resources & Services Administration.

Yes. In Phase 4, HRSA will base payments on lost revenue and increased expenses from July 2020 through March 2021, a time period separate from what was considered in previous phases. In addition, HRSA has set aside 25% of the Phase 4 funds to make bonus payments to providers based on the amount and type of services provided to Medicaid, CHIP, and Medicare beneficiaries from January 1, 2019 through September 30, 2020.

The Academy encourages all eligible pediatricians to apply as early as possible to increase the likelihood they receive Phase 4 funding. HHS is urging all eligible providers to apply early; do not wait until the last day or week of the application period. Applying early will help to expedite HHS’s review process and payment calculations, and ultimately accelerate the distribution of all payments.

Providers who believe their payment from Phase 3 was calculated incorrectly have the option to request reconsideration. Steps to request a reconsideration are available.

Yes. If you were eligible for a Phase 1, Phase 2, or Phase 3 General Distribution payment, regardless of the disposition of those payments, you are eligible to apply for a Phase 4 payment and ARP rural payment.

Providers will have from September 29, 2021 to October 26, 2021 to apply for Phase 4 General Distribution funding and the ARP rural funding.

This is a relief payment that should be used to account for lost revenue and increased expenses due to COVID-19. Within the broad parameters of the Terms and Conditions, Provider Relief Fund payments do not need to be repaid.

HHS has posted terms and conditions for the various phases of the General Distribution: Phase 1 (initial $30 billion), Phase 1 (second $20 billion), Phase 2 (Medicaid & CHIP), Phase 3, and Phase 4. Terms and conditions for the ARP rural funding are also available. Additionally, HHS has a list of FAQS related to complying with the terms and conditions of Provider Relief Funding. The Academy is closely tracking updates to these requirements and will share information and guidance as it becomes available.

Please share any questions or concerns with AAP through [email protected]. You can also find HHS’s FAQs here, and call the Provider Relief Fund support line at (866) 569-3522; for TYY dial 711.