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PRF Reconsiderations Request Frequently Asked Questions

  1. Who is eligible to request reconsideration of a Phase 3 payment determination?

    Any provider who applied for a Phase 3 payment and, after reviewing the PRF Phase 3 Calculation Methodology (PDF - 175 KB), believes their payment determination was incorrect based on the methodology may request reconsideration. HRSA will not be revising the methodologies for calculating PRF Phase 3 payments; requests based on a proposed change to methodology will not be (re)considered. The submission of a PRF Reconsideration Request to HRSA does not guarantee approval or adjustment to payment. Any correction to PRF payment determinations is subject to the availability of funds.

  2. When may providers request reconsideration of a Phase 3 payment determination?

    Providers will be able to submit PRF Phase 3 reconsideration requests starting September 29. To apply, providers must submit the completed PRF Reconsideration Request form HRSA Exit Disclaimer on-line by the submission deadline – 11:59:59 pm EST on November 12, 2021. Applicants are encouraged to apply early to facilitate review and expedite any revised payments made as a result of the reconsiderations process. 

  3. Is there a deadline for submitting a reconsideration request?

    Providers must submit the completed PRF Reconsideration Request form HRSA Exit Disclaimer on-line at by the submission deadline – 11:59:59 pm EST on November 12, 2021. Applicants are encouraged to apply early to facilitate review and expedite any revised payments made as a result of the reconsiderations process. 

  4. What are the required steps for submitting a Phase 3 Payment Reconsideration Request?

    Required Steps for Submitting a Phase 3 Payment Reconsideration Request:

    • Step 1: Review the detailed PRF Phase 3 Calculation Methodology so that you understand how your payment was calculated.
      • HRSA will only consider reconsideration requests from providers who believe their Phase 3 payment calculation was incorrect.
      • HRSA will not consider reconsideration requests that require a change to methodology.
    • Step 2: Complete the PRF Reconsideration Request form HRSA Exit Disclaimer.
    • Step 3: Submit the completed form on-line by the submission deadline - 11:59:59 pm EST on November 12, 2021. Applicants are encouraged to apply early to facilitate review and expedite any revised payments made as a result of the reconsiderations process.
  5. What information and documents should I include in my request?

    You must complete the PRF Reconsideration Request form HRSA Exit Disclaimer in Docusign, which you can access through the PRF website. It is essential that you accurately and completely fill out all fields in the form, and use the same information as provided in your original submission, so that HRSA can quickly retrieve your application materials for review. The form includes a section to provide updated contact information, as appropriate. Beyond the intake form, you should not submit any other documentation with your initial request. HRSA will request any clarifying information, as needed.

  6. Is there any information I should review prior to submitting a reconsideration request?

    Providers should review the PRF Phase 3 Payment Calculation Methodology (PDF - 175 KB) on the HHS website to understand how payments were calculated prior to submitting a reconsideration request. The methodology should guide you in your justification for your reconsiderations request.

    Providers should also review the PRF Phase 3 Instructions with regard to required information and documentation to check whether the requirements were met in the application.

  7. What types of payment issues will be reconsidered?

    The reconsiderations process will provide a forum for correcting potential errors in PRF Phase 3 payment calculations. HRSA will not consider reconsideration requests that would require a change to payment methodology or policy. Providers may not revise or correct their submitted applications. The submission of a PRF Reconsideration Request to HRSA does not guarantee approval or adjustment to payment. Any correction to PRF payment determinations is subject to the availability of funds.

  8. Who is likely to receive a payment through the Phase 3 reconsideration process?

    The reconsiderations process will provide a forum for correcting potential errors in PRF payment calculation. The submission of a PRF Reconsideration Request to HRSA does not guarantee approval or adjustment to payment. If HRSA determines that a payment was calculated incorrectly, a corrected payment may be issued. However, any correction to PRF payment determinations is subject to the availability of funds.

  9. Are particular groups of providers more or less likely to receive a revised payment as a result of a Phase 3 reconsideration request?

    HRSA will not be revising the methodology for calculating PRF Phase 3 payments (PDF - 175 KB). Accordingly, providers who are unlikely to receive a revised payment as a result of a reconsiderations request include, but are not limited to:

    • Providers that fail the program integrity safeguards;
    • Pharmacy and durable medical equipment (DME) suppliers with annual patient care revenue capped at 10% of their total annual revenue;
    • New providers in 2019 and 2020 whose payments were adjusted according to the New Provider payment calculation;
    • Providers with ratio of annual patient care revenues to quarterly lost revenue that is greater than one standard deviation above the mean relative to other providers in the same provider type; and
    • Providers with a majority of their annual revenues occurring in one quarter of the year.
  10. Will providers be given an opportunity to correct and resubmit their applications?

    The reconsiderations process will provide a forum for correcting potential errors in PRF Phase 3 payment calculation. HRSA will review applicants’ original submitted applications again and will request any clarifying information from the provider, as needed. Providers may not revise or correct their submitted application.

  11. Why are you setting up a Phase 3 reconsideration process?

    To promote transparency in the PRF program, HHS has released detailed information about the methodology utilized to calculate Phase 3 payments (PDF - 175 KB). Providers who believe their Phase 3 payment was not calculated correctly according to this methodology will now have an opportunity to request a reconsideration. HRSA recognizes that many providers have complex financial structures that may require additional review to confirm that payments were calculated as intended.

  12. How much funding will be available for Phase 3 reconsiderations?

    Funding for Phase 3 reconsiderations will utilize unobligated balances from the Phase 3 general distribution. The total amount to be paid in response to reconsideration requests will be based on the number of requests received and whether HRSA determines that the initial payments were incorrectly calculated. Any correction to PRF payment determinations is subject to the availability of funding.

  13. Why are we only developing a reconsideration process for Phase 3 and not Phases 1 and 2?

    Providers who received Phase 1 and Phase 2 General Distribution payments were eligible to apply for additional funding in Phase 3, and Phase 3 payments deducted payments received under the Phase 1 and Phase 2 General Distributions. Accordingly, the reconsiderations process is focused on Phase 3.

  14. How do I know if I should submit a reconsideration request?

    Providers who believe their Phase 3 payment was not calculated correctly according to this methodology can submit a reconsideration request. You can review the PRF Phase 3 Payment Calculation Methodology (PDF - 175 KB).

  15. How will I know HRSA received my request?

    Once your request received by HRSA, you will receive an auto-reply message acknowledging receipt of your request. Please maintain record of this email for future reference.

  16. Who can I speak to if I have questions about the request form?

    If you require assistance completing the request form, please contact the Provider Support Line at (866) 569-3522 (for TTY, dial 711).

  17. Who can I speak to if I have questions specific to my application?

    If you require assistance regarding your specific application, please contact HRSA’s Provider Support Line at (866) 569-3522 (for TTY, dial 711).

  18. Which providers can submit a reconsideration request?

    Any provider that applied for Phase 3 of the Provider Relief Fund may submit a request for reconsideration.

  19. When should I expect to hear back from HRSA about my request?

    Depending on the number of requests received and the complexity of the reviews, initial responses may not be provided until several weeks after submission. HRSA will send episodic status updates to your email address.

  20. The point of contact information for my application has changed. How should I fill out the request form?

    Complete the request form with the same information as provided in your original submission, so that HRSA can quickly retrieve your application materials for review. In addition, complete the section of the form requiring updated contact information.

  21. I don’t have my (Docusign) application envelope identification number. What should I do?

    Information about how to find a Docusign Envelope ID is available HRSA Exit Disclaimer.

  22. How were the Phase 3 Provider Relief Fund (PRF) General Distribution payment determinations made?

    For more information on the payment methodology, please review the Phase 3 PRF General Distribution Methodology (PDF - 175 KB).

  23. I have additional questions about the Phase 3 PRF General Distribution. Who can I contact at HRSA?

    The Provider Support Line at 866-569-3522 (for TTY, dial 711) is available if you need additional assistance. When calling, providers should have ready the following information:

    • The recipient's or applicant's Tax Identification Number (TIN)
    • The name of the recipient or applicant as it appears on the most recent tax filing
    • The mailing address for the recipient or applicant as it appears on the most recent tax filing.
  24. I was going back and forth with the PRF case management team prior to establishment of this process. Do I still need to submit a form?

    HRSA has the information needed to process reconsideration requests received from several providers through PRF case management prior to July 2021 and will be confirming with those providers via email that they do not need to submit a new reconsideration request. If you do not receive an email confirming that you do not need to submit a reconsideration request, you should submit an application on-line at [insert link] by the submission deadline - 11:59:59 pm EST on November 12, 2021.

  25. I made a request for reconsideration prior to establishment of this process and was denied. Can I still submit a reconsideration request now?

    Yes, you may submit a reconsideration request now, even if you were previously denied a reconsideration request or told that there was no appeals process for the Provider Relief Fund.

  26. Will submitting a reconsideration request impact any potential payment under Phase 4?

    Submitting a Phase 3 reconsideration request does not affect a provider’s eligibility for a PRF Phase 4 or ARP Rural payment. It is possible that some providers’ Phase 4 payments will be delayed, as HRSA works to ensure that prior payments are not inadvertently factored into both the Phase 4 payment and a reconsidered Phase 3 payment.

Date Last Reviewed:  September 2021