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Program Update

With the passage of the Fiscal Responsibility Act of 2023 and related rescission of program funds, no further payments will be made to providers under the Provider Relief Fund or the American Rescue Plan Rural Distribution, including no reconsideration payments. Likewise, no additional claims payments will be made under the Uninsured Program or Coverage Assistance Fund. Per the Terms and Conditions of each Program, all reporting and auditing requirements will continue without disruption.

Payment Reconsideration

The Provider Relief Fund (PRF) Phase 4 and American Rescue Plan (ARP) Rural Reconsideration process is intended for providers who believe their Phase 4/ARP Rural payment was not calculated correctly. The deadline to submit a Phase 4/ARP Rural reconsideration request was February 21, 2023 and has now closed.

The Health Resources and Services Administration (HRSA) will not make changes to payment determinations that would require a change to PRF Phase 4/ARP Rural payment methodology or policy.

HRSA is currently reviewing the Phase 4/ARP Rural reconsideration requests that were received by the February 21, 2023 deadline. HRSA will contact providers that requested reconsideration with a final decision once a review of their request and a final determination has been completed.

Please note that the submission of a PRF Phase 4/ARP Rural reconsideration request to HRSA does not guarantee an approval of, or adjustment to, payment. Further, any approval of or adjustment to payment determinations is subject to the availability of funds.

Phase 4/ARP Rural Payment Reconsideration

HRSA is committed to transparency and proactive communications around PRF payments. To this end, HRSA published the methodology used to calculate Phase 4/ARP Rural payments. Providers who believe their Phase 4/ARP Rural payment was not calculated correctly according to this methodology had an opportunity to request reconsideration by the February 21, 2023 deadline.

The reconsiderations process gave providers the opportunity to request a re-review of their Phase 4/ARP Rural payment calculation. For those providers who met the February 21, 2023 deadline, HRSA will review their original Phase 4/ARP Rural application again to ensure the Phase 4/ARP Rural payment methodology was correctly applied to their application. The Phase 4/ARP Rural reconsideration process does not offer providers the opportunity to revise or correct their submitted Phase 4/ARP Rural application, nor does it offer an opportunity for HRSA to deviate from established methodology or policy.

HRSA is currently reviewing the Phase 4/ARP Rural reconsideration requests that were received by the February 21, 2023 deadline. HRSA will contact providers that requested reconsideration with a final decision once a review of their request and a final determination has been completed.

Phase 3 Payment Reconsideration

The Phase 3 Payment Reconsideration period closed on November 12, 2021. HRSA processed the requests that were received, including reviewing providers’ original submitted applications again based on the established PRF Phase 3 Payment Methodology (PDF - 175 KB).

In total, HRSA received and reviewed more than 3,600 Phase 3 reconsideration requests, approving additional Phase 3 payments of approximately $1.7 billion. In over 90 percent of cases, HRSA’s review of Phase 3 reconsideration requests found that no additional Phase 3 payment was due.

HRSA is committed to transparency and proactive communications around PRF payments. To this end, HRSA published the PRF Phase 3 Payment Methodology (PDF - 175 KB) used to calculate Phase 3 payments. Providers who believed their Phase 3 payment was not calculated correctly according to this methodology had an opportunity to request reconsideration by November 12, 2021.

Provider Assistance

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

PRF Reconsiderations Request Frequently Asked Questions

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