American Rescue Plan Provider Relief Fund New Distributions

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The American Rescue Plan (ARP) Provider Relief Fund supports expenses and lost revenue due to COVID-19.

Funding will be distributed through two different distributions: Phase 4 general distribution and an American Rescue Plan (ARP) rural distribution.

• 75% of the Phase 4 allocation will calculated based on revenue losses and COVID-related expenses from July 1, 2020 to March 31, 2021.
  • Large providers will receive a minimum payment amount that is based on a percentage of their lost revenues and COVID-related expenses.
  • Medium and small providers will receive a base payment plus a supplement, with small providers receiving the highest supplement.
  • HHS will determine the exact amount of the base payments and supplements after analyzing data from all the applications received.
  • No provider will receive a Phase 4 payment that exceeds 100% of their losses and expenses.
• 25% of the Phase 4 allocation will be put towards bonus payments that are based on the amount and type of services provided to Medicaid, CHIP, and Medicare patients.
  • HHS will price Medicaid and CHIP claims data at Medicare rates, with some limited exceptions for some services provided predominantly in Medicaid and CHIP.
  • Providers who serve any patients living in Federal Office of Rural Health Policy-defined rural areas with Medicaid, CHIP, or Medicare coverage, and who otherwise meet the eligibility criteria, will receive a minimum payment.
• ARP Rural Distribution:
  • Providers who serve Medicaid, CHIP, and Medicare patients who live in rural communities are eligible for the ARP Rural payments.
  • HHS will make payments to providers based on the amount and type of Medicare, Medicaid, and Children's Health Insurance Program (CHIP) services provided to rural patients.
  • HHS will price Medicaid and CHIP claims data at Medicare rates, with some limited exceptions for some services provided predominantly in Medicaid and CHIP.
  • Providers who serve any patients living in Federal Office of Rural Health Policy-defined rural areas with Medicaid, CHIP, or Medicare coverage, and who otherwise meet the eligibility criteria, will receive a minimum payment.

Eligible applicants are providers and suppliers of healthcare, services, and support in a medical setting, at home, or in the community, including, but not limited to:

• Academic medical centers
• Children's hospitals
• Ambulatory surgical centers
• Assisted living facilities
• Behavioral health providers
• Dental services
• Diagnostic services
• Durable medical equipment (DME) suppliers
• Eye and vision services
• Federally Qualified Health Centers
• Home and community-based support
• Home health agencies
• Inpatient behavioral facilities
• Multi-specialty practices
• Nursing homes and skilled nursing facilities
• Other ancillary services, such as chiropractic, speech and language pathology, physical therapy, and occupational therapy
• Other inpatient facilities
• Other outpatient clinics
• Other services, such as foster care and developmental disability services
• Other single-specialty practices
• Pediatrics practices
• Pharmacies
• Primary care practices
• Rural Health Clinics

$17 billion is available for a broad range of providers who can document revenue loss and expenses associated with the pandemic. An additional $8.5 billion in relief funds is available for providers who serve rural patients.

Links to additional guidance, application instructions, and the online application portal are available on the program website.

No payments will be sent automatically; providers must submit an application to receive funding.