Provider Relief Fund: Extended Deadline to Submit Request to Report Late Due to Extenuating Circumstances

The deadline for providers to request to submit a late Provider Relief Fund (PRF) Reporting Period 2 (RP2) report has been extended to May 18th at 11:59 pm ET. Providers may submit a request if certain extenuating circumstances prevented them from submitting their RP2 report by the initial deadline (March 31, 2022). Requests to submit a late report must be completed via the PRF Reporting Portal.

If you did not submit your Reporting Period 2 (RP2) report by the March 31, 2022 deadline, you may request to submit a late RP2 report if certain extenuating circumstances exist. Requests must be submitted by the May 18 deadline to be
considered. Providers who fail to take advantage of this opportunity will be required to return all funds in order to be compliant with Provider Relief Fund Terms and Conditions.

What reasons constitute extenuating circumstances?

  • Severe illness or death – a severe medical condition or death of a provider or key staff member responsible for reporting hindered the organization’s ability to complete the report during the Reporting Period.
  • Impacted by natural disaster – a natural disaster occurred during or in close proximity of the end of the Reporting Period damaging the organization’s records or information technology.
  • Lack of receipt of reporting communications – an incorrect email or mailing address on file with HRSA prevented the organization from receiving instructions prior to the Reporting Period deadline.
  • Failure to click “submit” – the organization registered and prepared a report in the PRF Reporting Portal, but failed to take the final step to click “submit” prior to deadline.
  • Internal miscommunication or error – Internal miscommunication or error regarding the individual who was authorized and expected to submit the report on behalf of the organization and/or the registered point of contact in the PRF Reporting Portal.
  • Incomplete Targeted Distribution payments – the organization’s parent entity completed all General Distribution payments, but a Targeted Distribution(s) was not reported on by the subsidiary.

Providers whose RP2 request is approved and who submit a completed report within the designated timeframe will be deemed in compliance with their reporting requirements and will not be required to return funds.

Next Steps

To submit a request:

  1. Complete registration in the PRF Reporting Portal prior to submitting a request. Providers who have already registered in the Portal do not need to register again. Registration instructions are on the PRF Reporting webpage.
  2. Submit a Request to Report Late Due to Extenuating Circumstances Form by May 18, 2022 at 11:59 pm ET. You must indicate and attest to a clear and concise explanation related to the applicable extenuating circumstance; however, supporting documentation will not be required.
  3. If HRSA approves the request, your organization will receive a notification to proceed with completing the RP2 report.
  4. If approved, you will have 10 days from the date you received the notification to submit a completed report in the PRF Reporting Portal.

More Information

For additional information, review the Request to Report Late Due to Extenuating Circumstances Webpage, or call the Provider Support Line at (866) 569-3522; for TTY dial 711. Hours of operation are 8 a.m. to 10 p.m. Central Time, Monday
through Friday.

Provider Relief Fund: Extended Deadline to Submit Request to Report Late Due to Extenuating Circumstances

The deadline for providers to request to submit a late Provider Relief Fund (PRF) Reporting Period 2 (RP2) report has been extended to May 18th at 11:59 pm ET. Providers may submit a request if certain extenuating circumstances prevented them from submitting their RP2 report by the initial deadline (March 31, 2022). Requests to submit a late report…

Important New Study on Patient Care Transitions & Infection Control

The Columbia University School of Nursing is conducting a new, nationwide research study to learn more about patient care transitions and current infection prevention and control policies and processes in post-acute care settings, as well as experiences of nursing home and home healthcare personnel throughout the COVID-19 pandemic.

Briefly, participation in the study involves one telephone interview (lasting approximately 30-90 minutes) with 3 staff members knowledgeable about patient care and infection prevention and control infrastructure and policies at your agency. Potential participants may include: administrator/clinical manager, field RN, and home health aide. We can conduct the interviews in English or Spanish, depending on the participant’s preference. The interviews would be confidential and we would provide a $100 honorarium per participant (up to $300 per agency) in the form of a Visa gift card.

If you decide that your agency would like to participate in the study, the next step would be to schedule a brief call with the study team. You can contact us at 833-822-7677 or email us at nursing_across-care@cumc.columbia.edu to discuss more about study participation and to schedule interviews.

Important New Study on Patient Care Transitions & Infection Control

The Columbia University School of Nursing is conducting a new, nationwide research study to learn more about patient care transitions and current infection prevention and control policies and processes in post-acute care settings, as well as experiences of nursing home and home healthcare personnel throughout the COVID-19 pandemic. Briefly, participation in the study involves one…

DHS Extends Form I-9 Requirement Flexibility

The Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE) announced an extension of the flexibility in complying with requirements related to Form I‑9, Employment Eligibility Verification, due to COVID‑19.

This temporary guidance was set to expire April 30, 2022. Because of ongoing precautions related to COVID‑19, DHS has extended the Form I‑9 flexibilities, effective May 1, until October 31, 2022.

See the original ICE news release from March 20, 2020, for more information on how to obtain, remotely inspect, and retain copies of the identity and employment eligibility documents to complete Section 2 of Form I‑9. Please also consult ICE’s guidance for clarification on this provision.

Employers are encouraged to begin, at their discretion, the in-person verification of identity and employment eligibility documentation for employees who were hired on or after March 20, 2020, and who presented such documents for remote inspection in reliance on the flexibilities first announced in March 2020.

Employers must monitor DHS’ and ICE’s Workforce Enforcement announcements about when the extensions end and normal operations resume.

DHS Extends Form I-9 Requirement Flexibility

The Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE) announced an extension of the flexibility in complying with requirements related to Form I‑9, Employment Eligibility Verification, due to COVID‑19.

This temporary guidance was set to expire April 30, 2022. Because of ongoing precautions related to COVID‑19, DHS has extended the Form I‑9 flexibilities, effective May 1, until October 31, 2022.

See the original ICE news release from March 20, 2020, for more information on how to obtain, remotely inspect, and retain copies of the identity and employment eligibility documents to complete Section 2 of Form I‑9. Please also consult ICE’s guidance for clarification on this provision.

Employers are encouraged to begin, at their discretion, the in-person verification of identity and employment eligibility documentation for employees who were hired on or after March 20, 2020, and who presented such documents for remote inspection in reliance on the flexibilities first announced in March 2020.

Employers must monitor DHS’ and ICE’s Workforce Enforcement announcements about when the extensions end and normal operations resume.

Sequestration Resumes for Medicare Providers

The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare fee-for-service claims. As a result of this Act, a suspension on the sequestration was put in place due to the COVID-19 public health emergency (PHE.) The sequestration was suspended through March 31, 2022.

Effective April 1, 2022, the one percent sequestration payment adjustment will be applied for claims with dates of services from April 1, 2022 to June 30, 2022.

Of note, the sequestration payment adjustment will revert to the two percent rate for claims with dates of services as of July 1, 2022. This will bring the total sequestration rate to two percent, which was the rate in effect prior to the PHE.

For home health providers, the adjustment applies to the respective “through” date on the claim.

The sequestration payment adjustment decrease will appear on the RA with a CARC 253, used to report the sequestration reduction. The code will appear as a CO 253 on the RA “Sequestration – reduction in federal payment” as the reason.

Sequestration Resumes for Medicare Providers

The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare fee-for-service claims. As a result of this Act, a suspension on the sequestration was put in place due to the COVID-19 public health emergency (PHE.) The sequestration was suspended through March 31, 2022. Effective April 1, 2022, the one percent sequestration…

DHS Extends Form I-9 Requirement Flexibility

The Department of Homeland Security (DHS) and U.S. Immigration and Customs Enforcement (ICE) announced an extension of the flexibility in complying with requirements related to Form I‑9, Employment Eligibility Verification, due to COVID‑19. This temporary guidance was set to expire April 30, 2022. Because of ongoing precautions related to COVID‑19, DHS has extended the Form…

Private Duty Home Care Deserves Provider Relief

The CARES Act Provider Relief Fund has been a lifesaver to thousands of health care providers across the country. Through the fund distributions, the Department of Health and Human Services (HHS) has been able to stabilize access to care during the Public Health Emergency and help preserve the health care infrastructure for the post-pandemic future. We very much appreciate Congressional action creating the fund and the swift actions taken by HHS to prioritize the distribution of the funds.

The National Association for Home Care & Hospice strongly believes direct relief funds should be provided to personal care home care providers, and we are advocating directly to congressional leadership on this issue.

NAHC firmly believes Congress must take immediate steps to provide funds to an essential part of our health care system that, to date, has not received this crucial support. Home care companies that serve millions of Americans with vital personal health care supports, such as assistance with the administration of prescribed medications, exercise programs that maintain and improve functional capabilities, hygiene, feeding, and numerous Activities of Daily Living (ADLs) are a core part of community-based health care. These services, and the dedicated caregivers that provide them, have been uniformly recognized as essential health care providers by state and federal policymakers. However, the companies that provide this care have not received any Provider Relief Fund support since the creation of the Fund, except where those companies bill Medicare and/or Medicaid.

The companies that have been left out so far do participate in many government health programs, such as the Veterans Administration and the Administration on Aging, along with providing services funded by long term care insurance and private payment from their patients. It is estimated that they serve several million senior citizens and persons with disabilities each year, avoiding the need for high-cost institutional care. We need these companies to be operating today and tomorrow to meet the needs of our growing aged population.

Support from the Provider Relief Fund would be consistent with other distributions that have occurred so far. These include distributions to home care agencies that provide this same care through Medicaid, assisted living facilities, and behavioral health providers. Similarly, HHS has provided funding supports beyond Medicare and Medicaid providers to dentists and behavioral health providers, among others. As such, the standards and structures are in place to allow these
companies to apply for funding.

As potential legislation is drafted to provide further COVID-19 PHE relief, we request that specific PRF funding be allocated for home care providers that have not previously qualified due to their not being Medicare and/or Medicaid providers. These providers have faced the same COVID-related challenges as their Medicare and Medicaid colleagues, including workforce shortages, added expenses for personal protective equipment and cleaning supplies, and lost revenue due to added caregiver time properly performing COVID precautions and increased overtime expense.

Private duty home care providers are an essential part of allowing people to remain independent, living in their own homes, and slowing the spread of the novel coronavirus, COVID-19 and its variants.

Private duty care providers have been on the front lines of the fight against COVID-19, without the recognition and support they deserve. It is long past time to remedy that.