Provider has filed a federal income tax return for 2017, 2018, or 2019.Īs such, each entity that files a federal income tax return is required to file an application even if it is part of a provider group.Provider has received Provider Relief Fund payments as of 5:00pm EST Friday ApAND.Providers meeting the following criteria are required to submit a separate portal application: HHS is collecting information about organizational structure and subsidiary TINs so that we do not overpay or underpay providers who file tax returns covering multiple legal entities (e.g. HHS is collecting: the "gross receipt or sales" or "program service revenue" data to have an understanding of a provider's usual operations the revenue loss information to have an understanding of COVID impact and, tax forms to verify the self- reported information. This information may also be used to allocate other Provider Relief Fund distributions. A listing of the TINs for any of the provider's subsidiary organizations that received relief funds but DO NOT file separate tax returns.A copy of the provider's most recently filed federal income tax return.The provider's estimated revenue losses in March 2020 and April 2020 due to COVID.A provider's "Gross Receipts or Sales" or "Program Service Revenue" as submitted on its federal income tax return.The Provider Relief Fund Payment Portal collects four pieces of information to allocate remaining Phase 1 – General Distribution funds: The Provider Relief Fund Payment Portal has been deployed to collect information from providers who received Phase 1 – General Distribution payments prior to Apat 5:00 pm EST. (Added ) Phase 1 - Determining Additional Payments HHS is working to determine eligibility for a General Distribution payment for those affected providers. Providers were also excluded from the General Distribution if there was incomplete banking information and/or personal contact information. If the provider's TIN that was intended for payment identifies both a social security number of an individual Medicare provider and another Medicare provider's employer identification number, that TIN was excluded from the General Distribution. Some providers who did bill Medicare fee-for-service in CY2019 were not eligible for payment because either the provider is terminated from participation in Medicare or precluded from receiving payment through Medicare Advantage or Part D is currently excluded from participation in Medicare, Medicaid, and other Federal health care programs or currently has Medicare billing privileges revoked as determined by either the Centers for Medicare & Medicaid Services or the HHS Office of Inspector General. Payments to providers and practices that are part of larger medical groups went to the group's central billing office. Phase 1 – General Distribution payments were made to the billing organization according to its Taxpayer Identification Number (TIN). To be eligible for the General Distribution, a provider must have billed Medicare fee-for-service in CY2019.
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