April 23, 2020
On April 22, 2020, the Department of Health and Human Services (HHS) announced the release of an additional $40.4 billion from the $100 billion from the Public Health and Social Services Emergency Fund (the Fund) in four targeted areas to be distributed over the next several weeks. This is in addition to the $30 billion that was released earlier in April to Medicare Fee-for-Service providers. HHS also announced a process for seeking reimbursement for treating uninsured patients.
Following is a breakdown of additional disbursements (in addition to the original $30 billion) announced today by HHS.
$20 billion for Medicare facilities and providers based on providers’ 2018 net patient revenue to be distributed beginning Friday, April 24, 2020.
$10 billion will be allocated for targeted distribution to hospitals in areas that have been particularly impacted by the COVID-19 outbreak.
$10 billion will be allocated for rural health clinics and rural hospitals.
$400 million will be allocated for Indian Health Service facilities.
HHS announced an additional process whereby hospitals treating COVID-19 for uninsured patients will be able to seek reimbursement by submitting claims. Every healthcare provider who has provided treatment for uninsured COVID-19 patients on or after February 4, 2020, can request claims for reimbursement through the program and will be reimbursed at Medicare rates, subject to available funding. Providers can register for the program on April 27, 2020, and begin submitting claims in early May 2020. More information is available here.
Of note, with this announcement today, there is $29.6 billion remaining. HHS implies that these funds will be available to address the uninsured and providers who need separate funding allocations, like skilled nursing facilities, dentists, and providers that solely take Medicaid.
This summary of distributions does not include the additional $75 billion included in the Paycheck Protection Program and Health Care Enhancement Act, which is expected to pass the House tomorrow and be signed into law shortly after.
For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at email@example.com or Mara McDermott at firstname.lastname@example.org.