Provider Relief Fund & Accelerated and Advance Payments

We are releasing data that compares the HHS Provider Relief Fund and the CMS Accelerated and Advance Payments by State and provider as of May 15, 2020. This data is already available on other websites, but this chart brings the information together into one view for comparison. You can find additional information on the Accelerated and Advance Payments at the following links:

Fact Sheet: https://www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf;

Zip file on providers in each state: https://www.cms.gov/files/zip/accelerated-payment-provider-details-state.zip

Medicare Accelerated and Advance Payments State-by-State information and by Provider Type: https://www.cms.gov/files/document/covid-accelerated-and-advance-payments-state.pdf.

This file was assembled by HHS via CMS, HRSA and reviewed by leadership and compares the HHS Provider Relief Fund and the CMS Accelerated and Advance Payments by State and provider as of December 4, 2020.

HHS Provider Relief Fund
President Trump is providing support to healthcare providers fighting the coronavirus disease 2019 (COVID-19) pandemic through the bipartisan Coronavirus Aid, Relief, & Economic Security Act and the Paycheck Protection Program and Health Care Enhancement Act, which provide a total of $175 billion for relief funds to hospitals and other healthcare providers on the front lines of the COVID-19 response. This funding supports healthcare-related expenses or lost revenue attributable to COVID-19 and ensures uninsured Americans can get treatment for COVID-19. HHS is distributing this Provider Relief Fund money and these payments do not need to be repaid.
The Department allocated $50 billion of the Provider Relief Fund for general distribution to Medicare facilities and providers impacted by COVID-19, based on eligible providers' net reimbursement. It allocated another $22 billion to providers in areas particularly impacted by the COVID-19 outbreak, rural providers, and providers who serve low-income populations and uninsured Americans. HHS will be allocating the remaining funds in the near future.

As part of the Provider Relief Fund distribution, all providers have 45 days to attest that they meet certain criteria to keep the funding they received, including public disclosure. As of May 15, 2020, there has been a total of $34 billion in attested payments. The chart only includes those providers that have attested to the payments by that date. We will continue to update this information and add the additional providers and payments once their attestation is complete.

CMS Accelerated and Advance Payments Program
On March 28, 2020, to increase cash flow to providers of services and suppliers impacted by the coronavirus disease 2019 (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) expanded the Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers. Beginning on April 26, 2020, CMS stopped accepting new applications for the Advance Payment Program, and CMS began reevaluating all pending and new applications for Accelerated Payments in light of the availability of direct payments made through HHS’s Provider Relief Fund.

Since expanding the AAP program on March 28, 2020, CMS approved over 21,000 applications totaling $59.6 billion in payments to Part A providers, which includes hospitals, through May 18, 2020. For Part B suppliers—including doctors, non-physician practitioners and durable medical equipment suppliers— during the same time period, CMS approved almost 24,000 applications advancing $40.4 billion in payments. The AAP program is not a grant, and providers and suppliers are required to repay the loan.

CMS has published AAP data, as required by the Continuing Appropriations and Other Extensions Act of 2021, on this website: https://www.cms.gov/files/document/covid-medicare-accelerated-and-advance-payments-program-covid-19-public-health-emergency-payment.pdf. Requests for additional data related to the program must be submitted through the CMS FOIA office. For more information on how to submit a FOIA request please visit our website at https://www.cms.gov/Regulations-and-Guidance/Legislation/FOIA. The PRF is administered by the Health Resources & Services Administration (HRSA). For more information on how to submit a request for unpublished program data from HRSA, please visit https://www.hrsa.gov/foia/index.html.

Provider Relief Fund Data - https://data.cdc.gov/Administrative/Provider-Relief-Fund-COVID-19-High-Impact-Payments/b58h-s9zx

本数据集旨在对比截至2020年5月15日，各州及医疗机构在健康与公众服务部（HHS）提供者救济基金及医疗保险和医疗补助服务中心（CMS）加速和提前支付计划中的资金分配情况。此数据已在他处网站发布，但本图表将相关信息汇集在一起，以便于比较。关于加速和提前支付计划的更多信息，您可以通过以下链接获取：

事实说明书：https://www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf

各州提供者详细信息压缩文件：https://www.cms.gov/files/zip/accelerated-payment-provider-details-state.zip

按州和提供者类型划分的医疗保险加速和提前支付信息：https://www.cms.gov/files/document/covid-accelerated-and-advance-payments-state.pdf。

该文件由HHS通过CMS、HRSA汇编，并由领导层审阅，对比了截至2020年12月4日各州及医疗机构在HHS提供者救济基金与CMS加速和提前支付计划中的资金分配情况。

HHS提供者救济基金
特朗普总统通过两党合作的《冠状病毒援助、救济与经济安全法》及《工资保护计划与健康保健补充法案》，为抗击2019冠状病毒病（COVID-19）大流行的医疗机构提供支持，共计拨款1750亿美元作为救济基金，以支持医院及其他一线医疗机构的相关费用或因COVID-19而遭受的收入损失，并确保无保险的美国公民能够获得COVID-19的治疗。HHS正在分配这笔提供者救济基金的资金，且这些支付款项无需偿还。
HHS将提供者救济基金中的500亿美元分配用于向受COVID-19影响的医疗保险设施和提供者进行一般性分配，基于有资格提供者的净赔偿额。另外220亿美元分配给了特别受COVID-19疫情影响的地区、农村提供者和为低收入人群及无保险美国人服务的提供者。HHS将在近期内分配剩余的资金。

作为提供者救济基金分配的一部分，所有提供者均有45天时间声明其符合某些标准以保留所收到的资金，包括公开披露。截至2020年5月15日，已累计声明支付资金340亿美元。图表仅包括截至该日期已声明支付款项的提供者。我们将继续更新此信息，并在提供者的声明完成后添加额外的提供者和支付款项。

CMS加速和提前支付计划
为增加受2019冠状病毒病（COVID-19）大流行影响的医疗服务提供者和供应商的现金流，医疗保险和医疗补助服务中心（CMS）于2020年3月28日将加速和提前支付计划扩展到更广泛的医疗保险A部分提供者和B部分供应商。从2020年4月26日开始，CMS停止接受新的提前支付计划申请，并开始重新评估所有待处理和新申请的加速支付，考虑到通过HHS提供者救济基金直接支付的可用性。

自2020年3月28日扩展AAP计划以来，截至2020年5月18日，CMS已批准超过21,000项申请，总计支付资金596亿美元，用于A部分提供者，包括医院。在同一时间段内，CMS批准了近24,000项申请，提前支付了404亿美元的款项。AAP计划不是一项拨款，提供者和供应商需偿还贷款。

CMS已根据《2021年持续拨款及其他延期法案》的要求，在本网站上发布了AAP数据：https://www.cms.gov/files/document/covid-medicare-accelerated-and-advance-payments-program-covid-19-public-health-emergency-payment.pdf。有关该计划的相关数据，如需申请，请通过CMS FOIA办公室提交。有关如何提交FOIA请求的更多信息，请访问我们的网站：https://www.cms.gov/Regulations-and-Guidance/Legislation/FOIA。提供者救济基金由卫生资源与服务管理局（HRSA）管理。有关如何提交从HRSA请求未公开计划数据的更多信息，请访问https://www.hrsa.gov/foia/index.html。

提供者救济基金数据 - https://data.cdc.gov/Administrative/Provider-Relief-Fund-COVID-19-High-Impact-Payments/b58h-s9zx