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Tag: UC

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 or 888.514.9312 with any questions.

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Uncompensated Care Recognition Services–Important DSH Update

Now is the time to amend FY 2018 uncompensated care (UC).  FY 2018 is currently under audit and likely to impact future UC DSH payments.

Action Requested
Please be on the lookout for correspondence from your Medicare auditor regarding FY ‘18 worksheet S-10 uncompensated care (UC) cost (e.g., 9/30/18, 12/31/18, 6/30/19).    

We are here to help
Now is the time to amend 2018 UC cost amounts so that all allowable costs are recognized for future payments.  Toyon’s Uncompensated Care Recognition Service is the industry leader for UC DSH reporting.  For a dashboard evaluation of your hospital’s projected UC DSH payments and cost, please contact Fred Fisher at 888.514.9312,

Timeline and Toyon’s Take
Based on CMS’s current trend of auditing worksheet S-10 UC cost, it is very likely in these audits will impact FFY 2022 UC DSH payments.  Hospitals in receipt of these audit letters were given a deadline of March 25 to provide detailed patient listings supporting FFY 2018 UC cost amounts reported on Worksheet S-10.  Toyon recommends all DSH hospitals with FY ‘18 S-10 revisions, including those not in receipt of the audit letter, contact their MAC to set shared expectations.  Please feel to reach out to Toyon’s UCRS team for help or to answer any questions. 


Toyon Associates, Inc.

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