Following strong advocacy from the Colorado Medical Society; American Academy of Pediatrics, Colorado Chapter; American College of Obstetricians and Gynecologists - Colorado Section; Colorado Academy of Family Physicians; the American Medical Association and others in the House of Medicine, the Department of Health and Human Services has announced that the CARES Act Provider Relief Fund will distribute $15 billion in aid to eligible Medicaid and CHP+ providers who had not previously received (or been eligible for) any money from the Provider Relief Fund general allocation.

This is a win for pediatricians, obstetrician-gynecologists, dentists and others who don’t bill Medicare on a fee-for-service basis and therefore did not qualify for initial rounds of funding. Also eligible are those who received payment from a targeted allocation, such as for rural health clinics. And funds are not first come, first served; all eligible providers who apply can expect to receive funds.

Eligible physicians MUST log into the portal by July 20 to report their annual patient revenue data and other necessary information to receive a payment equal to at least 2 percent of reported gross revenues from patient care. Additional payments may be allocated to account for considerations like greater loss of revenue, greater volume of Medicaid patients, or other factors. Before applying through the enhanced provider relief portal, applicants should read the Medicaid Provider Distribution Instructions and review the Medicaid Provider Distribution Application Form.

“This is what CMS has been fighting for,” said CMS CEO Bryan Campbell. “I am proud of the effort of the House of Medicine to come together to push this across the finish line to provide access to relief funds for our pediatricians, obstetrician-gynecologists and others.”

Find more information here.

HHS is hosting two webcasts at 2 pm EST/ 12 pm MST on Tuesday, June 23 and Thursday, June 25 for physicians and other health care professionals who are interested in learning more about the application process. Registration is required; follow this link to register.  

Please find answers to two relevant questions posted in the FAQs on June 12, 2020.

Q: Why is there a new Provider Relief Fund Payment Portal?

A:  Portal will initially be used for new submissions from Medicaid and Children’s Health Insurance Program (CHIP) providers seeking payments under the Provider Relief Fund starting Wednesday, June 10, 2020. At this time, this portal will serve as the point of entry for providers who have received Medicaid and CHIP payments in 2017, 2018, 2019 or 2020 and who have not already received any payments from the $50 billion Provider Relief Fund General Distribution.

Q: What is the difference between the first Provider Relief Fund Payment Portal and the Enhanced Provider Relief Fund Payment Portal for the Medicaid Targeted Distribution?

A: The first Provider Relief Fund Payment Portal was used for providers who received a General Distribution payment prior to Friday, April 24. These providers were required to submit financial information in order to receive approximately 2 percent of gross revenues derived from patient care.

HHS has developed the new Enhanced Provider Relief Fund Payment Portal for providers who did not receive payments under the previous General Distribution, including those providers who bill Medicaid and CHIP (e.g., pediatricians, long-term care, and behavioral health providers.)

Categories: Communications, ASAP, Resources, COVID, Practice Management, Coding and Billing