After a weeks-long delay, HHS has finally published detailed reporting requirements for Provider Relief Fund (PRF) recipients who accepted one or more payments exceeding $10,000 in total.
Originally scheduled to launch Oct. 1, the HHS Provider Relief website now states the reporting system will be available in “early 2021”.
According to the guidelines, recipients will report their use of PRF payments by submitting the following information:
1. Healthcare related expenses attributable to coronavirus that another source has not reimbursed and is not obligated to reimburse, which may include General and Administrative (G&A) or healthcare related operating expenses (further defined within the data elements section below).
2. PRF payment amounts not fully expended on healthcare related expenses attributable to coronavirus are then applied to lost revenues, represented as a negative change in year-over-year net patient care operating income (i.e., patient care revenue less patient care related expenses for the Reporting Entity, defined below, that received funding), net of the healthcare related expenses attributable to coronavirus calculated under step 1. Recipients may apply PRF payments toward lost revenue, up to the amount of their 2019 net gain from healthcare related sources. Recipients that reported negative net operating income from patient care in 2019 may apply PRF amounts to lost revenues up to a net zero gain/loss in 2020.
If recipients do not expend PRF funds in full by the end of calendar year 2020, they will have an additional six months in which to use remaining amounts toward expenses attributable to coronavirus but not reimbursed by other sources, or to apply toward lost revenues in an amount not to exceed the 2019 net gain. For example, the reporting period January – June 2021 will be compared to the same period in 2019.
Required data reporting elements will include:
- Demographic information
- Expenses Attributable to Coronavirus Not Reimbursed by Other Sources (2020 only)
- Lost Revenues Attributable to Coronavirus
Providers with unused funds after December 31, 2020, will also be required to submit a second and final report no later than July 31, 2021 that includes patient care related revenue amounts earned January 1–June 30, 2021, according to the guidelines.
Full details about required data elements and other frequently asked questions are available in the HHS guidance below: