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Deadline For Providers To Apply For Medicaid/CHIP Relief Payments Extended To August 28

The deadline to apply for the HHS Provider Relief Fund for Medicaid/CHIP providers who did not receive any relief payments during the Medicare-based General Distribution has been extended until August 28th. Providers who have been adversely impacted by COVID-19, meet all of the other eligibility requirements, and can agree to the terms and conditions associated with the program are encouraged to apply for this relief fund.

HHS created this $15B Medicaid/CHIP relief program from the Provider Relief Fund, and has made it available to eligible providers that participate in state Medicaid and CHIP programs. Providers who have previously received a payment from the Provider Relief Fund General Distribution (which was based on Medicare payments) will not be eligible for this Medicaid/CHIP round of funding. To be eligible for this funding, health care providers 1) must not have received payments from either Round 1 or Round 2 of the $50 billion Provider Relief Fund General Distribution and 2) must have directly billed their state Medicaid/CHIP programs or Medicaid managed care plans for healthcare-related services between January 1, 2018, to May 31, 2020.

Eligible Medicaid and CHIP providers will be asked to report their annual patient revenue, which will be used to determine their Provider Relief Fund payment. Similar to Rounds 1 and 2 of the General Distribution, the payment to each provider in this round of funding will be at least 2 percent of reported gross revenue from patient care; the final amount each provider receives will be determined after the data is submitted, which will include information about the number of Medicaid patients each providers served.

According to the announcement from HHS, this funding will supply relief to Medicaid and CHIP providers experiencing lost revenues or increased expenses due to COVID-19. Examples of providers serving Medicaid/CHIP beneficiaries possibly eligible for this funding include pediatricians, obstetrician-gynecologists, dentists, opioid treatment and behavioral health providers, assisted living facilities, and other home and community-based services providers.

Providers can visit https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/general-information/index.html for more information on this latest round of relief funding.