Providers: $25.5 billion in Provider Relief Fund & American Rescue Plan rural funding is now available. Submit your application by October 26, 2021.

Past Targeted Distributions

HHS allocated targeted distribution funding to providers to address added COVID-19 challenges, such as high need and vulnerable populations, including nursing homes and providers serving individuals in rural areas and safety net hospitals. Initial allocation amounts may have differed from “Total Distribution Amounts” listed below.

  • Targeted Distribution: Allocation for COVID-19 High-Impact Area Distributions
    • Total Distribution Amount: $20.75 billion
      • Payments Made To: 395 hospitals in high-impact areas (first round)
        1,129 hospitals (second round)
  • Targeted Distribution: Allocation for Rural Distributions
    • Total Distribution Amount: $10.02 billion (first round)
      • Payments Made To: 8,351 facilities
    • Total Distribution Amount: $1.07 billion (second round)
      • Payments Made To: 507 facilities
  • Targeted Distribution: Allocation for Skilled Nursing Facilities
    • Total Distribution Amount: $5.00 billion
      • Payments Made To: 15,502 facilities
  • Targeted Distribution: Allocation for Nursing Home Infection Control (formally known as the Skilled Nursing Facility and Nursing Home Infection Control Distribution)
    • Total Distribution Amount: $2.75 billion (Allocation for Nursing Home Infection Control)
      • Payments Made To: 15,362 facilities
    • Total Distribution Amount: $2.25 billion (Allocation for Nursing Home Quality Incentive Payment (QIP) Program)
      • Payments Made To: Varied by monthly payments
  • Targeted Distribution: Allocation for Tribal Hospitals, Clinics, and Urban Health Centers/Indian Health Service Providers
    • Total Distribution Amount: $520 million
      • Payments Made To: 438 facilities
  • Targeted Distribution: Allocation for Safety Net Hospitals
    • Total Distribution Amount: $10.11 billion (first round)
      • Payments Made To:764 facilities
    • Total Distribution Amount: $2.96 billion (second round)
      • Payments Made To: 227 acute care facilities
  • Targeted Distribution: Allocation for Children’s Hospitals
    • Total Distribution Amount: $1.06 billion
      • Payments Made To: 72 facilities free-standing children's hospitals

COVID-19 High-Impact Payments

HHS allocated funding to hospitals that had a high number of confirmed COVID-19 positive inpatient admissions.

Total Distribution Amount: $20.75 billion

Payments Made To: 395 hospitals in high-impact areas (first round), 1,129 hospitals (second round)

How the first round of High-Impact payments were determined

Eligibility for past High-Impact Area payments

Detailed methodology for first round of the High-Impact payments

Detailed methodology for second round of the High-Impact payments

Rural Payments

HHS distributed funds to rural hospitals, including rural acute care general hospitals and Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs) (Community Health Centers) located in rural areas.

How payments for Rural Facilities were determined

Eligibility for the first rural payment

Detailed methodology for first round of the rural payments

Eligibility for the rural/small metropolitan area targeted payments

Skilled Nursing Facilities and Nursing Homes Payments

HHS distributed a series of funding to nursing homes across the nation. The Skilled Nursing Facility Distribution was to skilled nursing facilities. The Nursing Home Infection Control Distribution (formally known as the Skilled Nursing Facility and Nursing Home Infection Control Distribution) was to skilled nursing facilities and nursing homes nationwide to help combat the devastating effects of this pandemic. In addition to direct payments to providers, the Nursing Home Infection Control Distribution also included an incentive payment structure called the Quality Incentive Payment (QIP) Program and provided more funding to nursing homes and skilled nursing facilities based on certain performance measures. Nursing Home Infection Control Distribution funds could only be used for the infection control expenses defined in the Terms and Conditions.

How payments were determined: Skilled Nursing Facility Distribution

How first payments were determined: Nursing Home Infection Control Distribution

How the incentive payment to Skilled Nursing Facilities and nursing homes was determined

Tribal Hospitals, Clinics, and Urban Health Centers/Indian Health Service Provider Payments

HHS distributed relief funding to Tribal hospitals, clinics, and urban health centers, on the basis of operating expenses. This funding complemented other funding provided to expand Indian Health Service (IHS) capacity for telehealth and testing.

How payments for Tribal Hospitals, Clinics and Urban Health Centers were determined

Detailed methodology for funding to Tribal Hospitals, Clinics, and Urban Health Centers

Safety Net Hospitals Payments

HHS allocated funds to safety net hospitals that disproportionately provide care to the most vulnerable, and operate on thin margins. Initially, HHS distributed first round payments to safety net hospitals then, additional considerations were made to allow certain acute care hospitals to qualify for funding. HHS also distributed funding to free-standing children's hospitals facing financial hardships caused by the pandemic.

How payments for the Safety Net Hospitals Distributions were determined

Detailed methodology for Safety Net Hospital payments

Eligibility for the first Safety Net Hospitals payment

Eligibility for the second Safety Net Hospitals payment

*Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email OPSInformation@hrsa.gov or call 301-945-9371.

Date Last Reviewed:  June 2021