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How do eligible providers receive funding? (uninsured)

How do eligible providers receive funding?

Health care providers who have conducted COVID-19 testing for uninsured individuals, provided treatment to uninsured individuals with a primary COVID-19 diagnosis on or after February 4, 2020, or administered an FDA-authorized or licensed COVID-19 vaccine to uninsured individuals, can request claims reimbursement through the program electronically and are 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:

  • They have checked for health care coverage eligibility and confirmed that the patient is uninsured. They have verified that the patient does not have health care coverage, and no other payer will reimburse them for COVID-19 testing and/or care or vaccine administration for that patient.
  • They will accept defined program reimbursement as payment in full.
  • They will agree not to balance bill the patient.
  • They will agree to program terms and conditions and may be subject to post-reimbursement audit review.

All claims submitted must be complete and final, and no interim bills or corrected claims are accepted. There are no adjustments to payment once claims reimbursements are made.

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