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  3. Provider Relief Fund Past Payments
  4. Past Targeted Distributions

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. All allocated amounts are as of 11/12/2021 with the most recent payment amounts as of 11/22/21.

  • COVID-19 High-Impact Area Distributions
    • Total Allocated Amount: $20.69 billion
      • Payments To: 960 facilities
  • Rural Distributions
    • Total Allocated Amount: $10.99 billion
      • Payments To: 4,300 facilities
  • Allocation for Skilled Nursing Facilities
    • Total Allocated Amount: $4.79 billion
      • Payments To: 12,864 facilities
  • Nursing Home Infection Control Distribution (formally known as the Skilled Nursing Facility and Nursing Home Infection Control Distribution)
    • Total Allocated Amount: $4.65 billion
      • Payments To: 12,856 facilities under Nursing Home Infection Control payments
      • Payments To: 11,867 Nursing Home Quality Incentive Payment (QIP) Program
  • Tribal Hospitals, Clinics, and Urban Health Centers/Indian Health Service Providers
    • Total Allocated Amount: $520 million
      • Payments To: 319 facilities
  • Safety Net Hospitals
    • Total Allocated Amount: $13.07 billion
      • Payments To: 899 facilities
  • Children’s Hospitals
    • Total Allocated Amount: $1.06 billion
      • Payments To: 66 free-standing children's hospitals

COVID-19 High-Impact Area Payments

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

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.

Rural Targeted Distribution Terms and Conditions (PDF - 86 KB)

Rural Health Clinic (RHC) Testing Payment Terms and Conditions (PDF - 224 KB) - Although separate from the Provider Relief Fund program, this distribution of payments was administered by the PRF.

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 and nursing homes. 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.

Skilled Nursing Facility Relief Fund Payment Terms and Conditions (PDF - 203 KB)

Skilled Nursing Facility and Nursing Home Infection Control Relief Fund Payment Terms and Conditions (PDF - 95 KB)

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.

Safety Net Hospitals Payments

HHS made two rounds of payments to acute care hospitals and free-standing children’s hospitals that provide care to the most vulnerable, and operate on thin margins. Children's hospitals were either an exempt hospital under the CMS inpatient prospective payment system (IPPS) or a HRSA Children's Hospital Graduate Medical Education facility.

Safety Net Provider Relief Fund Payment Terms and Conditions (PDF - 203 KB)

*Note: Persons using assistive technology may not be able to fully access information in this file. For assistance, please email PRBInformation@hrsa.gov.

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