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Tag: CARES

IMPORTANT COVID-19 FUNDING UPDATE | MAY 22, 2020

 

  • This Sunday, May 24, is the deadline for attesting to CARES provider relief payments received on April 10.
 

Toyon’s COVID-19 Funding Resources (updated for interactive national modeling of funding)
Toyon University’s COVID-19 Funding and Documentation Presentation

  • Wednesday, June 3, is the deadline to submit COVID-19 expenses for
    additional provider relief funding. Providers may be eligible for payments
    from the remaining
    funds through targeted distributions.
     
  • Toyon estimates $27.6
    billion in unallocated
    funding.
 

Toyon is pleased to provide this update on
developing details from the CARES Act Public Health and Social Services Emergency Fund (PHSSEF). For more information, or to contact any of our team members, please feel free to check Toyon’s website.
Important Deadlines: May 24 and June 3
This Sunday, May 24 is the deadline for providers receiving CARES PHSSEF payments on April 10 to attest the terms and conditions (T&C)

Providers that do not attest to the T&C and retain the funds past 45 days will retain payments and be included in HHS’s public release of providers and payments. In HHS’s updated FAQs, the agency states:

“Generally, HHS does not intend to recoup funds as long as a provider’s lost revenue and increased expenses exceed the amount of Provider Relief funding a provider has received.”

Providers must also submit revenue detail by June 3 to receive additional funding from the PHSSEF Distribution.
Please visit Toyon University’s COVID-19 Funding and Documentation Presentation for a discussion on submitting expenses and revenue loss. In HHS’s updated FAQs, HHS indicates this information may be used for other funds, such as the High Impact Fund. HHS states:

“Providers should update their capacity and COVID-19 census data to ensure that HHS can make timely payments in the event that the provider becomes a high-impact provider. Providers can continue to update their information through the same method they used previously.”

Also, providers are required to accept HHS’s T&C and submit revenue information to be considered for additional relief payments.

Toyon’s estimation of unallocated funds (to eligible hospitals) from the CARES Act PHSSEF is below. It is noted some of this funding will be used as part of provider relief funding for skilled nursing facilities (SNF) and HRSA’s Uninsured Program.

$50,000 Payments to RHCs for COVID-19 testing | expenses
Also included in HHS’s provider relief funding update is a distribution of $225 million to RHCs for COVID-19 testing. Payments are based on the number of certified clinic sites. HHS also released RHC T&Cs here. 

Provider relief for Skilled Nursing Facilities
As part of the CARES provider relief funding, HHS is distributing $50,000 to each SNF plus a variable distribution between $2000 per bed for smaller SNFs (5 and 25
beds) and $1,8000 per bed for larger SNFs (more than 200 beds). HHS also released SNF T&Cs here.


Thank you

Toyon is committed to apprising providers with important reimbursement updates and will keep you updated with the latest on UC DSH and COVID-19 funding and documentation.  Please feel free to visit Toyon’s COVID-19 Resources for updates on hospital funding estimates, recommendations on documenting cost and revenue losses associated with this public health emergency. Toyon’s website provides information on how to contact Toyon’s team members.   

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CARES Act Funding Attestation – Action Required

Providers receiving relief payments from the CARES Act funding are required to confirm receipt and agree to the terms and conditions within 30 days of payment. Providers are to submit their attestation using the CARES Act Provider Relief Fund Payment Attestation Portal, available here.

Providers have 30 days to attest after receipt of CARES Act funding and will need to provide the following information:

  • Billing Tax ID Number(s).
  • Last six digits of deposit bank account number.
  • Amount of relief payment..

Per HHS’s terms and conditions, these are the significant items:

  • Submit a report within 10 days after each calendar quarter regarding the use of the funds (details of the report have not been released).
  • Agree to not balance bill any patient for out-of-network services (i.e., the amount above if in-network) during the public health emergency period.

The third and fourth terms of HHS’s terms and conditions state:

The Recipient certifies that the Payment will only be used to prevent, prepare for, and respond to coronavirus, and shall reimburse the Recipient only for health care related expenses or lost revenues that are attributable to coronavirus. The Recipient certifies that it will not use the Payment to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse.”

Toyon’s Take
While relief funding will not likely make healthcare providers whole for the losses attributed to the impact of COVID-19, it is recommended providers identify and delineate items reimbursed in current and future legislation during the emergency period. Some examples include: 

  • Payroll Protection Program
  • FEMA assistance
  • Any additional funds for unreimbursed COVID-19 expenses
  • Reimbursement for the uninsured (i.e., Medicare DSH Uncompensated Care)

Please contact Robert Howey at robert.howey@toyonassociates.com or 888.514.9312 with any questions.

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CARES Act Funding – Next Round of $50 BILLION and Eligibility

 Funding Eligibility Deadline is Before Midnight PT Thursday, April 23.

 

Next Round of $50 billion in CARES Act Funding – Action Required 

HHS is preparing to release the next round of relief from the CARES Act funding. For payment eligibility, particularly related to HHS’s $10 billion targeted distribution, hospitals are to provide HHS the following information:

  1. Total number of Intensive Care Unit beds as of April 10, 2020
  2. Total number of admissions with a positive diagnosis for COVID-19 from January 1, 2020 to April 10, 2020
  3. National Provider Identifier(s)
  4. Tax Identification Number(s)

This round of CARES Act funding includes:

  • $20 billion general allocation based on 2018 net patient revenue. HHS will begin disbursing weekly payments to “Medicare facilities and providers” starting April 24.
  • $10 billion targeted allocation to hospitals in areas excessively impacted by COVID-19. Hospitals should apply for a portion of these funds by providing four data points as stated above.
  • $10 billion allocation for rural providers. Funds will be distributed using operating expenses to allocate amounts to each provider as early as the week of April 27.
  • $400 million allocation for Indian Health Services

Funds will be distributed using operating expenses to allocate amounts to each provider as early as the week of April 27. 

HHS e-mailed this one page document to your organization’s site administrator with additional information. For clarification on who within your organization received this notification, or if you have questions about the registration process, please contact TeleTracking Technical Support at 877-570-6903.

Uninsured COVID-19 Reimbursement

Every provider treating uninsured COVID-19 patients on or after February 4, 2020, can request claims reimbursement through this Program and will be reimbursed at Medicare rates, subject to available funding. On April 27, 2020, providers can register for this Program and begin submitting claims in early May 2020.

Please contact Robert Howey at robert.howey@toyonassociates.com or 888.514.9312 with any questions.

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