AHCA: COVID-19 Update #47 - Additional $20 Billion from Provider Relief Fund

Lisa Volk and Jackie Pappalardi in Clinical & Quality

In This COVID-19 Update:

  • Additional Distribution of $20 billion from Provider Relief Fund
  • COVID-19 Emergency Declaration Blanket Waivers for ICFs/IID
  • Update on Pending Requirement for National Healthcare Safety Network Reporting
  • ASPR Webinar on Friday, April 24

Additional Provider Relief Funds Distributed

This week, HHS will begin distribution of the remaining $20 billion of the Provider Relief Fund allocated for general distribution to providers impacted by COVID-19. 

HHS will begin distribution of the remaining $20 billion so that the whole $50 billion general distribution is allocated proportional to Medicare providers' share of 2018 net patient revenue less Medicare fee-for-service which was included in earlier distributions. On April 24, a portion of providers will automatically be sent an advance payment based off the revenue data they submit in CMS cost reports. Providers without adequate cost report data on file will need to submit their revenue information to a portal opening this week on the Provider Relief Fund website for additional general distribution funds. Providers who receive their money automatically will still need to submit their revenue information so that it can be verified. Payments will go out weekly, on a rolling basis, as information is validated, with the first wave being delivered starting on April 24, 2020.

A future distribution will focus on Medicaid only providers who do not have Medicare cost reports.

As we learn additional detail about the distribution formula, AHCA/NCAL will provide more information. 

COVID-19 Emergency Declaration Blanket Waivers for ICFs/IID 

Today, CMS released additional blanket waivers on staffing and training modifications in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID). More waivers are yet to come down the way for ICF/IID providers. Today’s release includes:

  • Staffing Flexibilities
  • Suspension of Community Outings
  • Suspend Mandatory Training Requirements
  • Modification of Adult Training Programs and Active Treatment

Additional details can be found in the full overview of the waivers.  

Update on Pending Requirement for National Healthcare Safety Network (NHSN) Reporting

As announced in CMS memo earlier this week, CMS will be issuing a new requirement for nursing homes to report to CDC’s National Healthcare Safety Network which is the nation’s most widely used healthcare-associated infection tracking system. AHCA along with other stakeholders met with staff from CDC NHSN to seek more information about accessing NHSN and the reporting requirements. Key takeaways providers should be aware of are:

  1. There will be an option for an expedited registration and credentialing process for new users of NHSN. It is estimated to take one hour via email communication to complete this process.
  2. Reporting to NHSN will likely be required weekly. 
  3. There will be a probable grace period from enforcement to allow for rollout of this new requirement. CMS will determine the length of time of that grace period which is not known at this point.

The goal of reporting to NHSN is to:

  • Augment case reporting to understand facility specific impact
  • Identify resource needs and prioritize public health action

NHSN will be providing training and support such as office hours and a user support desk in the coming weeks. We will share more information as it becomes available from CDC NHSN and when CMS issues the rule for these requirements.

ASPR Webinar - Protecting Our Frontline Health Facilities from Evolving Security Threats during COVID-19

On Friday, April 24, at 1:00 pm EDT, the Department of Health and Human Services (HHS) is partnering with the Department of Homeland Security (DHS) and InfraGardNCR on a webinar series to inform the private sector, state and local government first responders, and public healthcare professionals of potential increased threats to HPH facilities.

Register for the webinar here. You must register in advance to attend the webinar. After you register, you'll receive connection details from GoToWebinar. Send any questions to infragardncr@fbi.gov.

Please email COVID19@ahca.org for additional questions, or visit ahcancal.org/coronavirus for more information.


Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16