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Repayment and Debt Collection

Recipients of PRF and American Rescue Plan (ARP) Rural payments are required to return funds to HRSA under circumstances including:

  • Providers who rejected the Terms and Conditions in the PRF Application and Attestation Portal, but never returned funds.
  • Providers who failed to submit a required report must return all funds that were not reported on during a specific reporting period or the subsequent request to report late due to extenuating circumstances.
  • Providers deemed required to repay funds as a result of audit findings.
  • Providers deemed ineligible or noncompliant by indictment or other information not revealed through audit. 

Providers that fail to repay funds upon request from HRSA will be subject to initiation of debt collection.

What to Expect 

  1. HRSA will request repayment several times before issuing a Final Repayment Notice. Providers have 60 days from the date of the notice to take one of the below actions:
    1. Return PRF payments to HRSA as noted in the Final Repayment Notice. Details and instructions on how to return funds are on the  Returning Funds webpage
    2. Submit a request for a Decision Review to dispute HRSA’s request for repayment. The Decision Review Process is only for providers that have received an official Final Repayment Notice and do not agree with the repayment amount or reason(s) contained in the notice.   
  2. Providers who do not take one of these actions within 60 days of HRSA’s Final Repayment Notice may be referred by HRSA to the HHS Program Support Center (PSC) for the initiation of debt collection activities. 
  3. PSC, in coordination with the U.S. Department of Treasury, will issue formal debt collection letters to all providers that HRSA refers for debt collection. At this point, PSC and Treasury will take over all debt collection communications with referred providers. Debt collection activities may include accrual of interest, penalties, and recovery of funds by offsetting other Federal payments allocated to the entity. 

What is the role of the HHS Program Support Center (PSC)?  

As designated by the Department of the Treasury, PSC provides debt collection services for HRSA and other federal agencies. Once a debt has been referred to PSC, all communications regarding the outstanding PRF repayment amount will come directly from PSC. Visit the PSC website to learn more information.

Debt Repayment Plans

HRSA cannot establish payment plans for outstanding debts. Once the repayment amount has been referred to PSC and becomes official debt, providers can apply for repayment plans directly with PSC.

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