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Grants to USA Health Care Providers
for Support During the COVID-19 Crisis

Provider Relief Fund (PRF) Phase 4 and American Rescue Plan (ARP) Rural Funding

Agency Type:


Funding Source:

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U.S. Department of Health and Human Services (HHS)

Conf. Date:


Deadline Date:

10/26/21 11:59 PM ET


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Grants to USA health care providers, dental service providers, and behavioral health providers for Coronavirus (COVID-19) relief. Funding is intended to offset lost revenues due to the pandemic as well as healthcare-related expenses. Health care providers serving rural communities may request funds to address the disproportionate impact of the Coronavirus pandemic on rural communities and rural health care providers.

The Department of Health and Human Services (HHS) has announced relief funds, including to hospitals and other healthcare providers on the front lines of the coronavirus response as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program and Health Care Enhancement Act. This funding, along with additional relief funding outside of the CARES Act, supports healthcare-related expenses or lost revenue attributable to COVID-19 and ensures uninsured Americans can get treatment for COVID-19. 

Qualified providers of health care, services, and support may receive Provider Relief Fund payments for healthcare-related expenses or lost revenues due to coronavirus. 

ARP Rural is intended to help address the disproportionate impact that COVID-19 has had on rural communities and rural health care providers; funding will be available to providers who serve patients in these communities. 

GrantWatch ID#:

GrantWatch ID#: 192086

Estimated Total Program Funding:


Term of Contract:

Payments from both programs can be used for lost revenues or eligible expenses incurred dating back to from Jan. 1, 2020 which are not obligated to be reimbursed from another funding source. Providers may use these payments to cover eligible health care-related expenses or lost revenues that are attributable to coronavirus incurred between January 1, 2020 and the end of applicable period of availability. Providers have at least 12 months, and as much as 18 months, based on the payment received date, to control and use the payments for expenses and lost revenues attributable to coronavirus incurred during the Period of Availability.

Additional Eligibility Criteria:

Eligible for PRF Phase 4:
Providers or suppliers who bill Medicare feefor-service (Parts A, B, and C), Medicaid (fee-for-service or managed care) and/or CHIP as well as:
- Dental service providers
- State-licensed or certified assisted living facilities
- Behavioral health providers
- And others

Eligible for ARP Rural:
Providers or suppliers who bill Medicare (Parts A, B, and C), Medicaid (fee-for-service or managed care), and/or CHIP, and operate in or serve patients in a rural area, including:
- Rural health clinics and critical access hospitals
- In-home health, hospice, or long-term services
- And others

To be eligible to apply, the applicant must meet all of the following requirements:
1. Must fall into one of the following categories:
a. Must have either directly billed, or owns (on the application date) an included subsidiary that has directly billed, their state/territory Medicaid program (fee-for service or managed care) or Children’s Health Insurance Program (CHIP) for health care-related services during the period of January 1, 2019 to December 31, 2020; or
b. Must be a dental service provider who has either directly billed, or owns (on the application date) an included subsidiary that has directly billed, health insurance companies or patients for oral health care-related services during the period of January 1, 2019 to December 31, 2020;
c. Must have either directly billed, or owns (on the application date) an included subsidiary that has directly billed, Medicare fee-for-service (Parts A and/or B) or Medicare Advantage (Part C) for health care-related services during the period of January 1, 2019 to December 31, 2020;
d. Must be a state-licensed/certified assisted living facility on or before December 31, 2020;
e. Must be a behavioral health provider who has either directly billed, or owns (on the application date) an included subsidiary that has directly billed, health insurance companies or patients for health care-related services during the period of January 1, 2019 to December 31, 2020;
f. Must have received a prior Targeted Distribution payment.
2. Must have either (i) filed a federal income tax return for fiscal years 2018, 2019, or 2020, or (ii) be an entity exempt from the requirement to file a federal income tax return and have no beneficial owner that is required to file a federal income tax return (e.g. a state-owned hospital or health care clinic); and
3. Must have provided patient care after January 31, 2020; and
4. Must not have permanently ceased providing patient care directly, or indirectly through included subsidiaries; and
5. If the applicant is an individual that was providing patient care, have gross receipts or sales from providing patient care reported on Form 1040, Schedule C, Line 1, excluding income reported on a W-2 as a (statutory) employee.

ARP Rural Distribution: In accordance with the statutory requirements, to be eligible to apply for ARP Rural Payments, the applicant or at least one subsidiary TINs must be:
1. A rural health clinic as defined in section 1861(aa)(2) of the Social Security Act; or
2. A provider treated as located in a rural area pursuant to section 1886(d)(8)(E), such as critical access hospitals; or
3. A provider or supplier that:
a. Has directly billed for health care-related services between January 1, 2019 and September 30, 2020:
i. Medicare fee-for-service (Parts A and/or B);
ii. Medicare Advantage (Part C)
iii. Their state/territory Medicaid program (fee-for service or managed care); or
iv. Their state/territory Children’s Health Insurance Program (CHIP); and
b. Operates in or serves patients living in the HHS Federal Office of Rural Health Policy’s (FORHP) definition of a rural area:
i. All non-Metro counties;
ii. All Census Tracts within a Metropolitan county that have a Rural-Urban Commuting Area (RUCA) code of 4-10. The RUCA codes allow the identification of rural Census Tracts in Metropolitan counties;
iii. 132 large area census tracts with RUCA codes 2 or 3. These tracts are at least 400 square miles in area with a population density of no more than 35 people per square mile; and
iv. 295 outlying Metropolitan counties with no Urbanized Area population.

Pre-proposal Conference:

HRSA will be hosting webinar sessions for Phase 4 and ARP Rural applicants, featuring guidance on how to navigate the application portal.
- Thursday, September 30, 3:00 – 4:00 p.m. ET – register to attend HRSA at
- Tuesday, October 5, 3:00 – 4:00 p.m. ET – register to attend HRSA at
- Wednesday, October 13, 3:00 – 4:00 p.m. ET – register to attend HRSA at
- Thursday, October 21, 3:00 – 4:00 p.m. ET – register to attend HRSA at

Pre-Application Information:

The application will close on October 26, 2021 at 11:59 p.m. ET. Applications must undergo a number of validation checks before financial information is submitted so providers are encouraged to begin their application as soon as possible to ensure they are able to meet the deadline. Information on the documents and information needed to apply can be found in the resources following.

Eligible applicants can apply for the ARP Rural funds through the same Application and Attestation Portal that is available to apply for the Phase 4 General Distribution. Providers will apply for both programs in a single application.

Provider Relief Fund Application and Attestation Portal HRSA:

Application Instruction Webpages:

HHS recently hosted a briefing session to provide information about the upcoming funding opportunities – view the video HRSA at


Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

You will need to create an One Healthcare ID to access the portal, start registration here to begin:

Sign into the portal at


Provider Support Line
(866) 569-3522; for TTY dial 711
Hours of operation are 8 a.m. to 10 p.m. Central Time, Monday through Friday.

Persons using assistive technology may not be able to fully access information in the Annual Revenues Worksheets. For assistance, please contact

URL for Full Text (RFP):

Geographic Focus:

USA: Alabama;   Alaska;   Arizona;   Arkansas;   California;   Colorado;   Connecticut;   Delaware;   Florida;   Georgia;   Hawaii;   Idaho;   Illinois;   Indiana;   Iowa;   Kansas;   Kentucky;   Louisiana;   Maine;   Maryland;   Massachusetts;   Michigan;   Minnesota;   Mississippi;   Missouri;   Montana;   Nebraska;   Nevada;   New Hampshire;   New Jersey;   New Mexico;   New York City;   New York;   North Carolina;   North Dakota;   Ohio;   Oklahoma;   Oregon;   Pennsylvania;   Rhode Island;   South Carolina;   South Dakota;   Tennessee;   Texas;   Utah;   Vermont;   Virginia;   Washington, DC;   Washington;   West Virginia;   Wisconsin;   Wyoming

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