Many LeadingAge members have inquired why they are not eligible to apply for the Medicaid Distribution when their General Distribution payment(s) were so small. This issue was also raised on the HHS June 25 webinar on applying for the Medicaid Distribution. Here HHS repeated that providers who received a General Distribution payment of any amount cannot apply for the Medicaid Distribution. It went on to say there should be parity between the two payments to providers.
The Feb 20 proposed rule, if finalized, will extend the CJR Model through December 31, 2023 for certain participating hospitals and proposes to expand the eligible procedures to include certain outpatient hip and knee replacement procedures. The CJR model is currently scheduled to end December 31, 2020. The rule also seeks to refine aspects of the model such as target pricing, risk adjustment, reconciliation process, and eliminating the current 50% cap on gainsharing with physicians and non-physician practitioners.
CDC Travel Guidelines:
With the recent announcement of an application portal for Medicaid and CHIP providers to apply for a Targeted Medicaid distribution from the Provider Relief Fund, LeadingAge sought to clear up the confusion around this particular distribution.
Who is eligible?
Below are some of the key topics addressed in the latest version of the HHS FAQ:
Eligible expenses: The CARES Act outlines eligible expenses for which the payments can be used:
Providers who received their first payment on April 10 would now have until July 9, April 24th payments deadline will now be July 23 and May 22 payments -- the recent SNF-only targeted distribution -- until August 20. What remains unclear from this announcement is whether June 3 is still the last possible day for providers to submit financial data in order to be eligible for a second General Distribution payment, as was
This is a change from a May 8 HHS announcement that extended the attestation timeline for providers to accept or reject payments from the original 30 days to 45 days from receipt of payment. Under the May 8th announcement, the deadline should have been June 8. HHS has since issued two additional announcements regarding the deadline. The first announcement on May 20 established the deadline as June 3.
HHS Offers Some Answers on PRF
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