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Guide for Completing the Newest HHS CARES Provider Relief Fund Application

So for the HHS (Health and Human Services/CARES ACT) money that podiatrists received they will need to go and register on a specific site and then more financial reporting will be requested when that portal is open.

Below is the link to the site that Podiatrists need to go to now.

 

If you have not already, go to this site and register.

 

You will need the following in front of you when you start:

  • Tax ID Number (TIN) (or other number submitted during the application process (e.g., Social Security Number, Employer Identification Number (EIN))
  • Business name (as it appears on a W-9) of the reporting entity
  • Contact information (name, phone number, email) of the person responsible for submitting the report
  • Address (street, city, state, five digit zip code) of the reporting entity as it appears on a W-9)
  • TIN(s) of subsidiaries (if a provider is reporting on behalf of subsidiary(ies) - in a list delimited by commas, e.g.,123456789,987654321,135791357)
  • Payment information (for any of the payments received)
    • TIN of entity that received the payment
    • Payment amount

 

But the stuff you may not have at your fingertips are:

  • TIN
  • ACH Settlement date (day the first HHSPAYMENT was deposited in your account)
  • Exact amount of that deposit

 

For now, that is all the site will take from you. HHS will send you an email when you should submit the financial and/or employment records. Here are examples of what they will want once the site is ready to accept it:

 

Lost revenues

  • Revenue/net charges from patient care
  • Revenue by patient care payer mix
  • Alternative lost revenue calculation

Expenses attributable to coronavirus

  • General and administrative (G&A) expenses
  • Healthcare-related expenses

For recipients of $500,000 or more in aggregate PRF payments, providers must provide a further expense breakdown that includes:

  • Mortgage/rent
  • Insurance
  • Fringe Benefits
  • Lease Payments
  • Personnel
  • Utilities/operations
  • Supplies
  • Equipment
  • Information Technology
  • Facilities
  • Other G&A expenses or Healthcare Related Expenses

Basic organization information

  • Taxpayer Identification Number
  • National Provider Identifier (optional)
  • Fiscal Year End Date
  • Federal Tax Classification

Other assistance received in 2020

  • Paycheck Protection Program
  • FEMA CARES Act
  • CARES Act Testing
  • Local/State/Tribal Government assistance
  • Business insurance
  • Other assistance

Non-financial information

  • Employees (i.e. total, re-hires)
  • Patients (i.e. visits, admissions)
  • Facility (i.e. staffed beds)
    • Single Audit Status
    • Change in Ownership
    • Transfer of Targeted Distributions

There are lots of good summary pages and FAQ’s on this link.

 

We hope this helps expedite your application and saves you some time.

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