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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.

American Rescue Plan (ARP) Rural Payments

In November 2021, HRSA began releasing ARP Rural payments to providers and suppliers who have served rural Medicaid, Children's Health Insurance Program (CHIP), and Medicare beneficiaries from January 1, 2019, through September 30, 2020. Every eligible provider that served at least one rural Medicare, Medicaid, or CHIP beneficiary qualified to receive funding. Providers in all 50 states, Washington, DC, and six territories have received ARP Rural payments.

Each row represents the number of providers qualified to receive a payment in each state/territory and the total payments distributed. The data does not reflect recipients’ attestation status or returned payments. Due to rounding, dollar amounts presented in this table for individual states/territories may not add up precisely to the overall total.

ARP Rural Distribution as of June 2023

State Total Providers (#) Total Payments ($)
TOTAL 46,997 $8,320,151,174
Alabama 1,048 $191,049,835
Alaska 205 $21,265,868
American Samoa 1 $24,462
Arizona 635 $100,010,985
Arkansas 722 $199,539,457
California 3,099 $425,204,611
Colorado 799 $99,614,570
Connecticut 425 $27,121,787
Delaware 129 $21,740,251
District of Columbia 32 $360,528
Florida 2,122 $120,518,137
Georgia 1,646 $329,964,223
Guam 14 $3,232,465
Hawaii 256 $44,017,806
Idaho 330 $57,926,599
Illinois 1,786 $270,556,139
Indiana 748 $277,967,059
Iowa 822 $188,940,757
Kansas 708 $135,522,447
Kentucky 1,088 $365,727,220
Louisiana 1,346 $171,899,131
Maine 326 $144,476,716
Maryland 761 $44,355,314
Massachusetts 715 $29,256,026
Michigan 1,356 $264,226,001
Minnesota 1,032 $212,485,882
Mississippi 765 $269,562,309
Missouri 1,196 $290,278,435
Montana 320 $68,158,530
Nebraska 508 $86,820,712
Nevada 343 $26,279,064
New Hampshire 241 $78,448,328
New Jersey 886 $28,036,891
New Mexico 292 $71,791,376
New York 2,325 $289,721,295
North Carolina 1,663 $316,996,248
North Dakota 201 $55,055,186
Northern Mariana Islands 4 $591,389
Ohio 2,312 $482,058,168
Oklahoma 839 $195,544,480
Oregon 508 $129,884,638
Palau 1 $14,164
Pennsylvania 2,083 $324,381,328
Puerto Rico 394 $5,196,269
Rhode Island 90 $737,712
South Carolina 638 $119,481,839
South Dakota 211 $98,582,295
Tennessee 1,368 $370,096,063
Texas 4,078 $559,736,078
Utah 257 $44,828,484
Vermont 150 $47,293,798
Virgin Islands 16 $5,722,802
Virginia 934 $135,275,885
Washington 766 $162,276,619
West Virginia 461 $129,958,570
Wisconsin 836 $157,131,554
Wyoming 160 $23,206,392
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