Greetings!

This message includes:
  • details on the AHCA/NCAL "office hours" call today at 3:00 pm on Provider Relief Fund reporting;
  • information on the newest opportunity to apply for Provider Relief Funds; and
  • information on the continuing appropriations act passed this week extending the Medicare Accelerated and Advance Payment Programs.

Sincerely,

April Payne, MBA, LNHA
Vice President of Quality Improvement | Director of VCAL
Virginia Health Care Association | Virginia Center for Assisted Living 
AHCA/NCAL Provider Relief Fund
Reporting Requirements Office Hours

Today, October 2 at 3:00 pm, AHCA/NCAL will host an “office hour” to provide up-to-date answers to your questions about provider relief fund reporting requirements based upon available information and interpretation. To date, HHS only has released six pages of guidance and we await a reporting template, HHS case examples, and webinar trainings. HHS continues to update these requirements, resulting in confusion about what is expected of providers.

Mike Cheek, AHCA senior vice president of reimbursement policy, will provide an updated overview of the requirements and answer your questions. Please note, further updates and revisions to the requirements are expected to continue to be made. 

No pre-registration is required but you will need to login using your computer or WebEx application as all questions will be accepted using the chat function. All lines will be muted.

October 2, 2020 | 3:00 – 4:00 pm
Meeting number: 172 413 7902 | Password: 4TifsHQTy77
HHS Announces New Opportunity to
Apply for Provider Relief Fund Resources

The US Department of Health and Human Services (HHS) announced a new opportunity for providers to seek funding through the HHS Provider Relief Fund. HHS will be accepting applications from October 5, 2020 through November 6, 2020.

What It Means

Congress allocated $175 billion to HHS for the CARES Act Provider Relief Fund. As of September 24, HHS had allocated $122.9 billion of those funds. That funding has been divided between:
  • General Distributions – Two General Distributions – Phase 1 ($50 billion) and Phase 2 ($18 billion) – distributed through a combination of proactive distributions and application-based awards, and
  • Targeted Distributions – Proactive distributions to specific provider types – primarily hospitals and nursing homes.

Today, HHS has allocated an additional $20 billion for another General Distribution, which they have deemed “Phase 3 General Distribution."

HHS encourages providers to apply early. The new distribution methodology will take into account other applicants, so HHS will not be able to calculate full awards until it has received and reviewed all applications.

Virtually all health care providers should be eligible to apply for funding in this distribution. Even those providers who received funding previously may be newly eligible for consideration.

Key Parameters of the New Distribution

The new distribution is application-based. Interested providers will be required to apply as opposed to receiving a proactive distribution from HHS. HHS will accept applications from October 5 through November 6.

The application will be open to:
  • providers who have previously received, accepted, or rejected funding through the Provider Relief Fund,
  • behavioral health providers (some had previously been excluded for methodological reasons), and
  • providers newly practicing in 2020 (previously excluded for methodological reasons).
 
Distribution Methodology

2% of Patient Care Revenue – HHS will review each application to ensure providers have received 2% of their annual patient care revenue, taking into account previous distributions from the Provider Relief Fund. This methodology is consistent with the most recent General Distribution Phase 2, for which applications closed on September 13.

“Equitable Add-On Payment" – HHS indicates it will use the remainder of the $20 billion (after ensuring all applicants have 2% of annual patient care revenue) to calculate an “equitable add-on payment" for all applicants, reflecting:
  • a provider's change in operating revenues from patient care,
  • a provider's change in operating expenses from patient care, including expenses incurred related to coronavirus, and
  • payments already received through prior Provider Relief Fund distributions.

For updates and to learn more about the Provider Relief Program, visit: hhs.gov/providerrelief.
President Trump Signs into Law Continuing
Appropriations Act, 2021 and Other Extensions Act

On October 1, President Trump signed into law H.R.8337: Continuing Appropriations Act, 2021 and Other Extensions Act. The Senate passed the bill last night by a vote of 84-10 and the House passed the same measure last week by a vote of 359-57-1.  

This continuing resolution (CR) provides continued FY2021 appropriations to federal agencies through December 11, 2020 and extends several programs. Of particular interest to our sector, this bill modifies the Accelerated and Advance Payment Programs under Medicare parts A and B during the COVID-19 pandemic. Below are specific details of the modifications.

Congress changed the terms of loan repayment in the following ways: 
  • Subsection C of the bill makes clear that Part A providers, in addition to hospitals now have an extension from 120 days of the loan to 29 months from the date of the first payment. 
  • One year delay – Repayments for both Part A and Part B providers will not begin until at least a year from the date of the original payment from CMS. ​
  • Staggered recoupment – Rather than seizing the entire amount of claims until that is repaid, CMS would put limits on the total amount deducted from new claims during the recoupment period: 
  • ​During the first 11 months in which any such payment offsets are made, 25% of the amount is due. 
  • ​During the succeeding 6 months, 50 percent of the amount is due. 
  • ​​​Longer recoupment period – Providers would have 29 months from the date of the first Advance/Accelerated payment to repay funds before a bill is sent for the balance, including interest. 
  • Lower interest rate – The legislation would lower the interest rate for payments due after the recoupment period from ten percent to four percent.  

However, Congress is also sending a message back to CMS with the legislation. The CR would cap the total amount of funds CMS can issue through Advance/Accelerated payments under Part B to $10 million per year. The legislation also calls for additional reporting from CMS about the payments disbursed and tracking recoupment. Democratic committee leadership expressed concern with the fact CMS issued payments without Congressional input.
Upcoming Events

September 29 – October 29, 2020
Quick Links
www.vhca.org | (804) 353-9101 | Calendar of Events