COVID-19 Uninsured Program: Provider Relief Fund Overview

The COVID-19 Uninsured Program, part of the Provider Relief Fund, aims to reimburse healthcare providers for testing and treating uninsured individuals with COVID-19. This initiative ensures access to healthcare services for those without insurance by covering allowable expenses such as specimen collection, diagnostic testing, treatment, and more. Providers can request reimbursement for eligible services provided to uninsured individuals since February 4, 2020. More details and reimbursement process available at https://www.hrsa.gov/coviduninsuredclaim.

• COVID-19
• Uninsured Program
• Provider Relief Fund
• Healthcare Providers
• Reimbursement

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Uploaded on Jul 10, 2024 | 1 Views

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1. COVID-19 Response: Provider Relief Fund Testing and Treatment for the Uninsured Health Resources and Services Administration

2. Provider Relief Fund Overview The bipartisan CARES Act and the Paycheck Protection Program and Health Care Enhancement Act provide $175 billion in relief funds to hospitals and other healthcare providers on the front lines of the coronavirus response.* This funding supports healthcare-related expenses or lost revenue attributable to COVID-19 and ensures uninsured patients can get testing and treatment for COVID-19. $50 billion of the Provider Relief Fund is allocated for general distribution to Medicare facilities and providers impacted by COVID-19, based on eligible providers' net patient revenue. Additional funding is allocated to providers in areas particularly impacted by the COVID- 19 outbreak, rural providers, and providers who serve low-income populations and uninsured Americans. * In addition, the Families First Coronavirus Response Act and the Paycheck Protection Program and Health Care Enhancement Act each appropriate $1 billion to reimburse providers for conducting COVID-19 testing for the uninsured.

3. COVID-19 Uninsured Program: Overview Quickly reimburse providers for COVID -19 testing and treatment of the uninsured More information available at: https://www.hrsa.gov/coviduninsuredclaim Payment Methodology Key Milestones Claims reimbursement to health care providers Generally at Medicare rates For testing uninsured individuals for COVID-19 and treating uninsured individuals with a COVID- 19 diagnosis, on or after Feb 4, 2020 April April 22 Program details launched April 27 Providers began signing up for the program at coviduninsuredclaim.linkhealth.com. April 29 On Demand training began May May 6 Providers began submitting claims electronically As of May 27 $80,900,810 in paid claims Payment Mechanism HRSA awarded a contract to UnitedHealth Group to process claims from eligible health care providers for covered services. Payment is subject to available funding.

4. COVID-19 Uninsured Program: Allowable Expenses and Eligible Recipients Allowable Expenses Eligible Recipients Specimen collection, diagnostic and antibody testing Testing-related visits including in the following settings: office, urgent care or emergency room or telehealth Treatment, including office visit (including telehealth), emergency room, inpatient, outpatient/observation, skilled nursing facility, long- term acute care (LTAC), acute inpatient rehab, home health, DME (e.g., oxygen, ventilator), emergency ambulance transportation, non-emergent patient transfers via ambulance, and FDA-approved drugs as they become available for COVID-19 treatment and administered as part of an inpatient stay FDA-approved vaccine, when available Health care providers who have conducted COVID-19 testing of uninsured individuals or provided treatment to uninsured individuals with a COVID-19 diagnosis on or after February 4, 2020, can request claims reimbursement through the program. Eligibility is not based on profit/non-profit status

5. Uninsured Fund Snapshot As of May 26 Claim payments began May 15. 500,750 patients have been uploaded into the Portal. 332,776 claims have been submitted, but not all will be paid. Reasons for rejecting claims include: incorrect coding service provided was not COVID- related the member (patient) ID number was not recognized US Heat Map of Portal Patients The darker the color, the more patients

6. For More Information Provider Relief Fund: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html Program Information, Requirements, and State-By-State Tables Uninsured Portal: https://www.hrsa.gov/coviduninsuredclaim Program Information and Requirements Public Data on Attestations: https://data.cdc.gov/Administrative/HRSA-Provider-Relief-Fund-General- Allocation/kh8y-3es6