Information on phase 4 of the relief fund for providers

The US Department of Health and Human Services, through the Health Resources and Services Administration (HRSA), announced $ 25.5 billion in new funding that is available for distribution to all states through the Provider Relief Fund (PRF) Phase 4. This funding includes $ 8.5 billion from the American Rescue Plan Act (ARP) for providers serving rural Medicaid, Children’s Health Insurance Program (CHIP) or Medicare patients, and an additional $ 17 billion from the PRF for a wide range of providers who can document lost income and expenses associated with the pandemic. Suppliers can begin applying for funding on September 29, 2021. HRSA will use existing Medicaid, CHIP, and Medicare claim data to calculate payments.

Phase 4 payments will be based on the loss of income and expenses of providers between July 1, 2020 and March 31, 2021. Phase 4 will also include premiums for providers who serve Medicaid, CHIP and / or Medicare patients. , who tend to be lower income and have larger and more complex medical needs. HRSA will price these premiums at the generally higher Medicare rates to ensure fairness for those caring for low-income children, pregnant women, the disabled, and the elderly.

Eligibility for phase 4

Additional information on the eligibility requirements, documents and information needed to complete the application and application process for Phase 4 Rural Payments from the Provider Relief Fund and ARP can be found on the website of the US Health Resources & Services Administration at this link.

How to apply for phase 4 funding

Providers can begin applying for funding on September 29, 2021. Instructions on how to apply can be found on the US Health Resources & Services Administration website at this link.

Calculation of phase 3 payments

The Department of Health and Human Services has released detailed information on the methodology used to calculate PRF Phase 3 payments at this link. Suppliers who believe their PRF Phase 3 payment was not calculated correctly using this methodology will now have the option to request a review. Suppliers can request a review at this link.

Additional information

For more information, please call the Supplier Helpline at (866) 569-3522; for teleprinter communication, dial 711. Hours of operation are 7 a.m. to 10 p.m. Central Time, Monday to Friday. Service staff members are available to provide real-time technical assistance, as well as service and payment support.


Information on Phase 4 of the Relief Fund for Medicaid and PeachCare for Kids® Providers

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