New PRF Phase 4 & Rural Distribution Application Information Released

COVID-19; Provider Relief Fund

Today, the Health Resources and Services Administration (HRSA) released additional information on the $17 Billion Phase 4 and the $8.5 Billion Rural Distribution application. Applicants will be able to apply for both Provider Relief Fund (PRF) Phase 4 and American Rescue Plan (ARP) Rural payments during the application process. PRF Phase 4 is open to a broad range of providers with changes in operating revenues and expenses. ARP Rural is open to providers who serve rural patients covered by Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP). See a detailed list of eligible provider types here

HRSA released information on:
  • ​Required documentation for application
  • Creating an Application Account
  • An updated explanation of “rural” awards
  • How to apply for the Upcoming HRSA Phase 4 and Rural Distributions

Application Documentation Needed

In HRSA’s announcement, the Agency notes supporting documentation and information needed to complete an application will include:

  • ​Applicant Tax Identification Number (TIN) and TINs for any subsidiaries
  • Internally-generated financial statements that substantiate operating revenues and expenses from patient care in 2019 Q1, Q3, and Q4; 2020 Q3 and Q4; and 2021 Q1 
  • Federal income tax return, audited financial statements, or internally-generated financial statements submitted in their entirety: 

Phase 4 Table.jpg
You can also continue to check the PRF Future Payments webpage for more updates as the application period approaches.

Clarification on “Rural”

ARP Rural payments will be determined based on the location of the patients, not the provider. You do not need to verify whether your patients live in an area that meets the definition of rural. Simply select whether your organization (including any subsidiaries) would like to be considered for ARP Rural payments during the application process. HRSA will base payments on data already available to us on the amount and type of Medicare, Medicaid, and CHIP services provided to rural patients. HRSA will use the Federal Office of Rural Health Policy definition of rural.

Portal Availability & Application Account Creation

The application will open on September 29, 2021 and close on October 26, 2021 at 11:59 PM ET. Providers who previously created an account in the Provider Relief Fund Application and Attestation Portal and have not logged in for more than 90 days will need to first reset their password before starting a new application. In order to streamline the application process and minimize administrative burdens, providers will apply for both programs in a single application.

Application Education and Resources 

HHS recently hosted a briefing session to provide information about these upcoming funding opportunities. HRSA will also host webinar sessions featuring guidance on how to navigate the application portal. Register now using the links below.

AHCA/NCAL will make available a pre-recorded webinar on applying on October 5, 2021. The pre-recorded event will be located at ahcancalED and a link will be sent to members.  

Additional Information 

For additional information, contact the HRSA Provider Support Line at (866) 569-3522, for TTY dial 711. Hours of operation are 8 AM to 10 PM CT, Monday through Friday.