PRF General Distribution and ARP Rural Questions
Download all Provider Relief Fund FAQs (PDF - 538 KB)
Phase 4 - Application Process
In order for HRSA to make payments as part of Phase 4, HRSA needs the most recent financial information available, including the most recent tax filings or audited financial statements.
(Added 9/29/2021)
No, prescription drug sales revenue may not be captured as part of revenue from patient care. Patient care revenues may properly include savings obtained by providers through enrollment in the 340B Program. However, only patient care revenues from providing health care, services, and supports, as provided in a medical setting, at home, or in the community may be included.
(Modified 10/26/2021)
No. Any revenue or expenses related to the sale of medical supplies, including durable medical equipment and prescription glasses and contacts, may not be included as part of revenue or expenses from patient care. Only patient care revenues from providing health care, services, and supports, as provided in a medical setting, at home, or in the community may be included.
(Added 9/29/2021)
For the TIN validation step, you cannot edit the data submitted after you submit this information for IRS validation.
For the Tax and Financial Information submission step in DocuSign, you can resubmit the entire application. That means, if you wish to edit the information in DocuSign, you must re-enter all the financial information and re-upload your supporting documentation. If you submit multiple applications, HRSA will review the last application submitted before the deadline.
To avoid potential mistakes, HRSA strongly encourages applicants to verify that all information is correct before submitting.
(Updated 10/26/2021)
No. You can only submit one application.
(Added 9/29/2021)
If you are a provider that is not required to be licensed by your state but otherwise meets the eligibility criteria for the second phase of the General Distribution, you should enter “not applicable” in the field. The field cannot be left blank.
(Added 9/29/2021)
The health care provider should use the status that was included in the most recent tax filing when applying for Provider Relief Fund payments. For example, if a practice was a C corporation in 2020 and is an S corporation in 2021, it should apply as a C corporation if the provider’s most recent tax filing is from 2020.
(Added 9/29/2021)
No. The applicant may only include patient care revenue in its application for Provider Relief Fund payments, which is found in line 9 of Form 990 for tax-exempt organizations.
(Added 9/29/2021)
Yes. Organizations that receive payments greater than $100,000 will be required to set up ACH accounts. In order to most effectively and quickly deliver funds to providers, HRSA recommends that applicants sign up for an ACH account at the same time they submit a Provider Relief Fund application. This will prevent delays in issuing payment once an application has been approved.
(Added 9/29/2021)
The portal currently will say “Get Started” until a final determination has been made on provider payment. If and when a payment has been made, you will be able to move on in the portal to attest to the payment.
(Added 9/29/2021)
Applicants should select the exempt payee code based on the following information.
Supporting Documentation |
If the applicant for tax purposes is a… | Exempt Payee Code |
---|---|---|
IRS Form 1040 including Schedule C | Sole proprietor or disregarded entity owned by an individual | None |
IRS Form 1041 including Schedule C | Trust or estate | Charitable Trust = 13 –A trust exempt from tax under section 664 or described in section 4947 Other trusts = none |
IRS Form 1065 | Partnership | None |
IRS Form 1120 | C corporation | 5 – A corporation |
IRS Form 1120-S | S corporation | 5 – A corporation |
IRS Form 990 | Tax-exempt organization | 1 – An organization exempt from tax under section 501(a), any IRA, or custodial account under section 403(b)(7) if the account satisfies the requirement of section 401(f)(2) |
Most recent audited financial statements (or management-prepared financial statements). | Not required to file federal income taxes (e.g. state or local government entities) | 3 – A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions, agencies, or instrumentalities |
(Added 10/26/2021)

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