Health & Human Services Provider Relief Fund Terms & Conditions

Excerpt of applicable dental provider terms and conditions applicants must agree to:

• You are a healthcare provider, whether an individual or an entity, receiving the payment.
• Practice provides or provided after Jan. 31, 2020, diagnoses, testing, or care for individuals with possible or actual cases of COVID-19; is not currently terminated from participation in Medicare or precluded from receiving payment through Medicare Advantage or Part D; is not currently excluded from participation in Medicare, Medicaid, and other Federal health care programs; and does not currently have Medicare billing privileges revoked.
• Funds will only be used to prevent, prepare for, and respond to coronavirus, and that the payment shall reimburse the recipient only for healthcare-related expenses or lost revenues that are attributable to coronavirus.
• Will not use the payment to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse.
• Submit reports as the Health & Human Services Secretary determines are needed
• Consent to the Department of Health and Human Services publicly disclosing the payment that recipient may receive from the relief fund. The recipient acknowledges that such disclosure may allow some third parties to estimate the recipient’s gross receipts or sales, program service revenue, or other equivalent information.
• All information provided are true, accurate and complete, to the best of its knowledge. If not, this could lead to but not limited to revocation of Medicare billing privileges, exclusion from federal health care programs, and/or the imposition of fines, civil damages, and/or imprisonment.
• Maintain appropriate records and cost and promptly submit copies of such records and cost documentation upon the request of the HHS Secretary, and fully cooperate in all audits.
• Patients that would ordinarily be able to choose to receive all care from in-network healthcare providers may no longer be able to receive such care in-network. Accordingly, for all care for a presumptive or actual case of COVID-19, the recipient certifies that it will not seek to collect from the patient out-of-pocket expenses in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network recipient.

For the few practices that will be receiving more than $150,000, you will be held to additional reporting requirements.

• Not later than 10 days after the end of each calendar quarter, must submit to the HHS Secretary and the Pandemic Response Accountability Committee a report. This report shall contain:
  • total amount of funds received from HHS under one of the foregoing enumerated Acts
  • amount of funds received that were expended
  • detailed list of all projects or activities for which large covered funds were expended or obligated, including: the name and description of the project or activity, and the estimated number of jobs created or retained by the project or activity, where applicable
  • detailed information on any level of subcontracts or subgrants awarded by the covered recipient or its subcontractors or subgrantees.