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Program Update

With the passage of the Fiscal Responsibility Act of 2023 and related rescission of program funds, no further payments will be made to providers under the Provider Relief Fund or the American Rescue Plan Rural Distribution, including no reconsideration payments. Likewise, no additional claims payments will be made under the Uninsured Program or Coverage Assistance Fund. Per the Terms and Conditions of each Program, all reporting and auditing requirements will continue without disruption.

COVID-19 Coverage Assistance Fund

About the program

HRSA provided claims reimbursement to eligible health care providers at the national Medicare rate for administering Food and Drug Administration (FDA) authorized COVID-19 vaccines under an Emergency Use Authorization (EUA) or FDA-licensed COVID-19 vaccines under a Biologics License Application (BLA) to underinsured individuals.

The CARES Act and its implementing regulations generally required most health plans to cover any qualifying coronavirus preventive service, including recommended COVID-19 vaccines and their administration, without imposing any cost-sharing requirements, such as a copayment for vaccine administration, co-insurance, or deductible.

Since providers administering COVID-19 vaccines were not permitted to bill patients directly to ensure they were fairly compensated for their efforts, the Coverage Assistance Fund program was created to cover those costs that typically would have been the patient’s responsibility.

Vaccine administration fees for uninsured individuals were covered through HRSA’s Uninsured Program. The Coverage Assistance Fund extended the same level of support to providers who administered vaccines to underinsured individuals.

View the list of providers who have received a reimbursement from the HRSA COVID-19 Coverage Assistance Fund program.

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