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Provider Relief Fund Reporting Requirement Updates 10-26-2020

HHS announced late last week that is has updated its Provider Relief Fund reporting requirements in response to feedback the agency received in the wake of its September 19 FAQ update. In response to concerns raised, HHS is amending the reporting instructions to increase flexibility around how providers can apply PRF money toward lost revenues attributable to coronavirus.

 After reimbursing healthcare related expenses attributable to coronavirus that were unreimbursed by other sources, providers may use remaining PRF funds to cover any lost revenue, measured as a negative change in year-over-year actual revenue from patient care related sources.

In response to feedback, HHS had this to say:

“This decision to prohibit most providers from using PRF payments to become more profitable than they were pre-pandemic, in order to conserve resources to allocate to providers who were less profitable, has generated significant attention and opposition from many stakeholders and Members of Congress. There is consensus among stakeholders and Members of Congress who have reached out to HHS that the PRF should allow a provider to apply PRF payments against all lost revenues without limitation.”

Please see the policy memos below regarding the reporting requirement decision, as well as the amended reporting requirements.