Aloha PMAG Physicians,

Under the CARES Act, HHS is distributing these major Provider Relief Funds at various stages.

  1. HHS has distributed the Provider Relief Fund to Medicare provider since April 10, 2020 via direct deposit or paper check. Read more, here.
  2. Providers can request for reimbursement for testing and treating uninsured patients due to COVID-19 since February 4, 2020. Portal opened on April 27, 2020. Read more, here. Apply today!

Quick Facts about HHS Provider Relief Fund:

  • It is under the CARES Act. For more information, click here.
  • Payment is based on your Medicare FFS claims in 2019. Payments are given to eligible providers.
  • This is not a loan; no need to payback.
  • You may receive this payment via Optum Bank with "HHSPAYMENT" as the payment description through direct deposit or a paper check in a few weeks.
  • Providers must agree not to seek collection of out-of-pocket payments from a COVID-19 patient that are greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider.
  • You may accept or reject the payment.
  • Within 30 days of receiving this payment, providers must sign an attestation confirming receipt of the funds and agreeing to the terms and conditions of payment. Attest, click here.
  • Terms and Conditions - PDF
  • For additional information, recipients should visit or call the CARES Provider Relief line at (866) 569-3522.
  • There are no details about Medicaid provider funding distribution yet.

Providers who have conducted COVID-19 testing or provided treatment for uninsured individuals with COVID-19 on or after February 4, 2020 can begin the process to file claims for reimbursement for testing and treating the uninsured. Providers can access the portal at . View Frequently Asked Questions or download the PDF .

In order to receive funds, providers must:
  • Enroll as a provider participant (starting today, here)
  • Check patient eligibility and benefits
  • Submit patient information
  • Submit claims starting May 6, 2020
  • Receive payment via direct deposit

Providers may begin submitting claims in May 6, 2020. Due to the limitation on these funds, we would recommend that providers submit ASAP.

More information below.

COVID-19 Claims Reimbursement to Health Care Providers and Facilities
for Testing and Treatment of the Uninsured

Update: The COVID-19 Uninsured Program Portal is NOW open

Providers who have conducted COVID-19 testing or provided treatment for uninsured individuals with COVID-19 on or after February 4, 2020 can begin the process to file claims for reimbursement for testing and treating the uninsured.

Providers can access the portal at .

President Trump is providing support to health care providers fighting the COVID-19 pandemic. The President signed the bipartisan Families First Coronavirus Response Act or FFCRA (P.L. 116-127), which appropriates $1 billion to reimburse providers for conducting COVID-19 testing for the uninsured, and the Coronavirus Aid, Relief, and Economic Security (CARES) Act (P.L. 116-136), which provides $100 billion in relief funds, including to hospitals and other health care providers on the front lines of the COVID-19 response. Within the Provider Relief Fund, a portion of the funding will be used to support healthcare-related expenses attributable to the treatment of uninsured individuals with COVID-19.

About the program

As part of the FFCRA and CARES Act , the U.S. Department of Health and Human Services (HHS), will provide 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.

Physicians and other health care providers are true heroes – especially during the
COVID-19 outbreak – and HHS is grateful for their continued dedication.

How it works

Health care providers who have conducted COVID-19 testing or provided treatment for uninsured COVID-19 individuals on or after February 4, 2020 can request claims reimbursement through the program electronically and will be reimbursed generally at Medicare rates, subject to available funding. Steps will involve: enrolling as a provider participant, checking patient eligibility, submitting patient information, submitting claims, and receiving payment via direct deposit.

To participate, providers must attest to the following at registration:
  • You have checked for health care coverage eligibility and confirmed that the patient is uninsured. You have verified that the patient does not have coverage such as individual, employer-sponsored, Medicare or Medicaid coverage, and no other payer will reimburse you for COVID-19 testing and/or care for that patient
  • You will accept defined program reimbursement as payment in full.
  • You agree not to balance bill the patient.
  • You agree to program terms and conditions and may be subject to post-reimbursement audit review.

Program timeline

  • April 22 – Program Details launch
  • April 27 – Sign up period begins for the program
  • April 29 – On Demand training starts
  • May 6 – Begin submitting claims electronically
  • Mid-May – Begin receiving reimbursement

For whom can claims be submitted

Providers may submit claims for individuals in the U.S. without health care coverage.

What's covered

For dates of service or admittance on or after February 4, 2020, providers will be eligible to seek reimbursement for COVID-19 testing and testing-related visits for uninsured individuals, as well as treatment for uninsured individuals with a COVID-19 diagnosis. All claims will be subject to the same timely filing requirements required by Medicare.

Reimbursement will be made for: qualifying testing for COVID-19 and treatment services with a primary COVID-19 diagnosis, including the following:
  • Specimen collection, diagnostic and antibody testing.
  • Testing-related visits including in the following settings: office, urgent care or emergency room or via telehealth.
  • Treatment, including office visit (including via 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 ground ambulance transportation, non-emergent patient transfers via ground 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.
  • For inpatient claims, date of admittance must be on or after February 4, 2020.

Services not covered by traditional Medicare will also not be covered under this program. In addition, the following services are excluded:
  • Any treatment without a COVID-19 primary diagnosis, except for pregnancy when the COVID-19 code may be listed as secondary.
  • Hospice services.
  • Outpatient prescription drugs.

All claims submitted must be complete and final.

Claims Submission

This content will be available by Monday, April 27, so please check back for more information.

Claims Reimbursement

Claims for reimbursement will be priced as described below for eligible services (see coverage details above).
  • Reimbursement will be based on current year Medicare fee schedule rates except where otherwise noted.
  • Reimbursement will be based on incurred date of service.
  • Publication of new codes and updates to existing codes will be made in accordance with CMS.
  • For any new codes where a CMS published rate does not exist, claims will be held until CMS publishes corresponding reimbursement information.

When can I learn more?

We will update this site with much more information starting April 27. Please check back often for the latest updates and stay connected with us on Twitter , Facebook and LinkedIn .