HRSA COVID-19 Claims Reimbursement for the Uninsured Program and the COVID-19 Coverage Assistance Fund

 

The COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured Program also known as the Uninsured Program provides claims reimbursement to eligible health care providers for conducting COVID-19 testing for the uninsured, treating uninsured individuals with a COVID-19 diagnosis, and administering FDA-authorized or licensed COVID-19 vaccines to uninsured individuals. The COVID-19 Coverage Assistance Fund (CAF) provides COVID-19 vaccine administration fee claims reimbursement to eligible health care providers who provide COVID-19 vaccines to patients enrolled in health coverage that either does not cover vaccine administration fees, or does cover the administration fees but has patient cost-sharing. With the passage of the Fiscal Responsibility Act of 2023 and related rescission of program funds, 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.

General information about this opportunity
Last Known Status
Active
Program Number
93.461
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
C - Direct Payments For Specified Use
Program Accomplishments
Not applicable.
Authorization
Families First Coronavirus Response Act (FFCRA), Part Title V, Division A, Public Law 116-127
Paycheck Protection Program and Health Center Enhancement Act, Part Title I, Division B, Public Law 116-139
the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), Part Title VIII, Division B,, Public Law 116-136
The American Rescue Plan Act (ARPA), Public Law 117-2
Consolidated Appropriations Act, 2021
Activities are authorized and/or funded via the following legislation: • Title V, Division A, of the Families First Coronavirus Response Act (FFCRA) (P.L. 116-127) • Title I, Division B, of the Paycheck Protection Program and Health Care Enhancement Act (PPPHCEA) (P.L. 116-139) • The American Rescue Plan Act (ARPHA) (P.L. 117-2) • Title VIII, Division B, of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), (P.L. 116-136) • Paycheck Protection Program and Health Care Enhancement Act (PPPHCEA) (P. L. 116-139). • Consolidated Appropriations Act, 2021 (CAA), (P.L. 116-260)
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligibility varies. With the passage of the Fiscal Responsibility Act of 2023 and related rescission of program funds, 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.
Beneficiary Eligibility
Not applicable.
Credentials/Documentation
Documentation varies. For additional information, please see www.hrsa.gov/provider-relief/about/covid-uninsured-claim and www.hrsa.gov/provider-relief/about/covid-19-coverage-assistance. In 2022, the HRSA COVID-19 Uninsured Program and the COVID-19 Coverage Assistance Fund (CAF) stopped accepting claims due to a lack of sufficient funds.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Sections of 45 CFR part 75, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, apply to this program - refer to compliance requirements for additional details.
Award Procedure
HRSA is no longer accepting claims for reimbursement.
Deadlines
HRSA is no longer accepting claims.
Approval/Disapproval Decision Time
Not applicable.
Appeals
Not applicable.
Renewals
Not applicable.
How are proposals selected?
Not applicable.
How may assistance be used?
Prior to discontinuation of payments, this funding was for claims reimbursements for COVID-19 testing, treatment, and vaccine administration.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
In accordance with the provisions of 45 CFR part 75, Subpart F - Audit Requirements, non-federal entities that expend financial assistance of $750,000 or more in Federal awards during the entities fiscal year will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 45 CFR 75.503 but records must be available for review or audit by appropriate officials of the Federal agency, pass-through entity, and Government Accountability Office (GAO). HHS Regulations at 45 CFR 75.501 differ from 2 CFR 200.501 and impose audit requirements on commercial organizations. Refer to 45 CFR 75.501(i-j) for additional information.
Records
Not applicable.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
See Terms and Conditions at www.hrsa.gov/provider-relief/compliance/terms-conditions.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Health Resources and Services Administration
5600 Fishers Lane
Rockville, MD 20857 USA
ProviderReliefContact@hrsa.gov
Phone: (866) 569-3522
Website Address
https://www.hrsa.gov/coviduninsuredclaim;https://www.hrsa.gov/covid19-coverage-assistance
Financial Information
Account Identification
75-0140-0-1-550
Obligations
(Direct Payments for Specified Use) FY 22$999,180,000.00; FY 23 est $570,000.00; FY 24 est $0.00; FY 21$479,312,222.00; FY 20$492,289,244.00; FY 19$0.00; - Families First Coronavirus Response Act (P.L. 116-127) Title V(Direct Payments for Specified Use) FY 22$17,557,290,000.00; FY 23 est $0.00; FY 24 est $20,000,000.00; FY 21$7,347,233,846.00; FY 20$150,000,000.00; FY 19$0.00; - Paycheck Protection Program and Health Center Enhancement Act (P.L. 116-139) Title I(Direct Payments for Specified Use) FY 22$1,302,720,000.00; FY 23 est $16,726,280,000.00; FY 24 est $0.00; FY 21$562,387,954.00; FY 20$740,376,734.00; - Coronavirus Aid, Relief, and Economic Security Act (CARES Act)(Direct Payments for Specified Use) FY 22$4,798,280,000.00; FY 23 est $270,000.00; FY 24 est $0.00; FY 21$2,798,000,000.00; FY 20$0.00; - American Rescue Plan Act (ARPA)
Range and Average of Financial Assistance
Not applicable/available.
Regulations, Guidelines and Literature
See website(s) https://www.hrsa.gov/CovidUninsuredClaim https://www.hrsa.gov/covid19-coverage-assistance
Examples of Funded Projects
Not applicable.

 



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