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Terms and Conditions

Recipients of Provider Relief Fund payments and those reimbursed for services by the HRSA COVID-19 Uninsured Program and the Coverage Assistance Fund, must agree to the Terms and Conditions specific to the distribution in which they received a payment or reimbursement.

Providers must attest to program Terms and Conditions in order to receive payment, such as:

  • Eligible providers may use funds to prevent, prepare for, and respond to coronavirus, and for related expenses or lost revenues attributable to coronavirus.
  • Funding cannot be used where another source has reimbursed or is obligated to reimburse those expenses or losses.
  • Payments can be pre-payments, prospective, or retrospective payments.
  • Provider and payment information for entities that have attested to at least one payment is posted to an HHS Public Use File (PUF).

General Distribution

Phase 1

Relief Fund Payment from $30 Billion General Distribution (PDF - 94 KB)
The recipient automatically received payment from the initial $30 billion general distribution.

Relief Fund Payment $20 Billion General Distribution (PDF - 87 KB)
The recipient has received payment from the additional $20 billion general distribution.

Phase 2

Phase 2 General Distribution Relief Fund Payment Terms and Conditions (PDF - 224 KB)
The recipients have received a payment appropriated as part of Phase 2 General Distribution, including Medicaid, CHIP, dental, and other providers.

Phase 3

Phase 3 General Distribution Relief Fund Terms and Conditions (PDF - 54 KB)
The recipients have received a payment appropriated as part of Phase 3 General Distribution, including Medicaid, CHIP, dental, assisted living facilities, behavioral health and other providers.

Targeted Distribution

COVID-19 High-Impact Payments

High Impact Area Relief Fund Payment Terms and Conditions (PDF - 86 KB)
The recipient has received payment from funds appropriated as part of the targeted allocations known as the High Impact Area Targeted Distribution.

Rural Payments

Rural Targeted Distribution (PDF - 87 KB)
The recipient has received payment from funds appropriated as part of the targeted allocations known as the Rural Targeted Distribution.

Rural Health Clinic (RHC) Testing Payment Terms and Conditions (PDF - 224 KB)
The recipient has received payment from funds appropriated in the Public Health and Social Services Emergency Fund for COVID-19 testing and related expenses.

Skilled Nursing Facilities and Nursing Homes Payments

Skilled Nursing Facility Relief Fund Payment Terms and Conditions (PDF - 204 KB)
The recipient has received payment from funds appropriated as part of the targeted allocations.

Skilled Nursing Facility and Nursing Home Infection Control Relief Fund Payment Terms and Conditions (PDF - 171 KB)
The recipient has received payment from funds appropriated as part of the targeted allocations in the Skilled Nursing Facility and Nursing Home Infection Control Distribution sometimes also referred to as the “Nursing Home Infection Control Distribution.”

Tribal Hospitals, Clinics, and Urban Health Centers Payments

Indian Health Service Relief Fund Payment Terms and Conditions (PDF - 247 KB)
The recipient has received a payment from the Tribal Distribution, part of the targeted allocations.

Safety Net Hospitals Payments

Safety Net Provider Relief Fund Payment Terms and Conditions (PDF - 203 KB)
The recipient has received a payment appropriated as part of the safety net hospital or children's hospital targeted distributions.

Allocation for Uninsured Patients

FFCRA Relief Fund Payment Terms and Conditions (PDF - 529 KB)
The recipient submitted claims for reimbursement for COVID-19 testing and/or testing related items and services provided to FFCRA (Families First Coronavirus Response Act) Uninsured Individuals.

Uninsured Relief Fund Payment Terms and Conditions (PDF - 207 KB)
The recipient submitted claims for reimbursement for care or treatment related to positive diagnoses of COVID-19 and/or COVID-19 vaccine administration provided to individuals who did not have any health care coverage at the time the services were provided.

Uninsured Program Fund Terms and Conditions (PDF - 124 KB) (for claims submitted after June 1, 2021)
The recipient plans to submit claims for reimbursement for COVID-19 testing and/or testing related items, care or treatment related to positive diagnoses of COVID-19 and/or COVID-19 vaccine administration provided to individuals who did not have any health care coverage at the time the services were provided.

Uninsured Program Fund Terms and Conditions (PDF - 124 KB) (for claims submitted after November 2021) 
The recipient plans to submit claims for reimbursement for COVID-19 testing and/or testing related items, care or treatment related to positive diagnoses of COVID-19, and/or COVID-19 vaccine administration provided to individuals who did not have any health care coverage at the time the services were provided.

Allocation for Underinsured Patients

COVID-19 Coverage Assistance Fund Payment Terms and Conditions (PDF - 209 KB)
The recipient plans to submit claims for reimbursement for administering COVID-19 vaccines to underinsured patients (defined as those enrolled in health plans that either do not cover vaccination fees or cover them with patient cost-sharing).

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

Date Last Reviewed:  November 2021