| Relief Fund Allocation |
Date Issued/Announced |
Total Payment Amount |
Recipients |
Distribution Methodology |
| Phase 1 General Distribution (First Round) |
April 10, 2020 |
$30 billion |
Entities that billed Medicare in 2019 |
Share of 2019 Medicare FFS revenues |
| Phase 1 General Distribution (Second Round) |
April 24, 2020 |
$20 billion |
Entities that billed Medicare in 2019 |
(Most Recent Tax Year Annual Gross Receipts x $50 billion) / $2.5 trillion – Initial General Distribution Payment to Provider Equates to approximately 2 percent of net patient revenues per each eligible provider* |
| Rural Provider Distribution (First Round) |
May 6, 2020 |
$10 billion |
Rural acute general hospitals, CAHs, RHCs, and rural community health centers (CHCs) |
Hospital = graduated base payment + (1.97 percent x operating expenses)
RHC = $100,000 per site + (3.6 percent x operating expenses) CHC = $100,000 per site
|
| High Impact Distribution (First Round) |
May 7, 2020 |
$12 billion |
Hospitals with at least 100 inpatient COVID-19 admissions as of April 10, 2020 |
$10 billion: $76,975 x number of COVID-19 admissions
$2 billion: add-on payment based on Medicare DSH
|
| Skilled Nursing Facilities Distribution |
May 22, 2020 |
$4.9 billion |
Medicare and Medicaid certified SNFs with at least six beds |
Fixed payment of $50,000 + $2,500 per certified bed |
| Indian Health Service (IHS) Facilities |
May 29, 2020 |
$500 million |
Tribal hospitals, clinics, and urban health centers |
Per hospital = $2.81 million + 3 percent of total operating expenses per clinic/program = $187,000 + 5 percent (estimated service population x average cost per user) IHS Urban Programs = $181,000 + 6 percent (estimated service population x average cost per user) |
| Safety Net Hospital Distribution (First Round) |
June 9, 2020 |
$10 billion |
Hospitals with Medicare DPP of 20.2 percent or greater, average uncompensated care per bed of $25,000 or more, and profitability of 3 percent or less |
(Hospital's Facility Score / Cumulative Facility Scores across All Safety Net Hospitals) x $10 billion Facility Score = Number of facility beds x DPP |
| Phase 2 General Distribution (Medicaid and CHIP Distribution) |
June 9, 2020 |
$15 billion (approximately) |
Providers that did not receive a General Distribution payment and billed Medicaid for health care-related services between January 1, 2018, and December 31, 2019 |
2 percent (Gross Revenues x Percent of Gross Revenues from Patient Care), using data from CY 2017 or 2018 or 2019 as selected by applicant |
| Rural Provider Distribution (Second Round) |
July 10, 2020 |
$1 billion |
Specialty rural hospitals, urban hospitals with certain rural Medicare designations, and hospitals in small metropolitan areas |
SCHs, Medicare Dependent Hospitals, and RRCs in small metro areas: 1 percent of operating expenses (minimum of $100,000, a supplement of $50 for each rural inpatient day, and a maximum of $4.5 million)
Ten isolated urban hospitals that are 40 or more miles away from another hospital open to the public: supplemental payment of $1 million
Small city hospitals (under 250,000 population) without a special Medicare designation: 1 percent of operating expenses (minimum of $100,000 and a maximum of $2 million)
Rural specialty hospitals (Psychiatric, Rehabilitation, and Long Term Acute Care): graduated base payment + approximately 2 percent of operating expenses (adjusted for rural patient share with a minimum payment of $100,000 and a maximum of $4.5 million)
|
| Safety Net Hospital Distribution (Second Round) |
July 10, 2020 |
$3 billion |
Hospitals with Medicare DPP of 20.2 percent or greater, average uncompensated care per bed of $25,000 or more, and profitability of 3 percent or less averaged consecutively over two or more of the last five cost reporting periods |
Same formula as used for first round |
| High Impact Distribution (Second Round) |
July 17, 2020 |
$10 billion |
Hospitals with over 161 COVID-19 admissions between January 1 and June 10, 2020; or one admission per day; or that experienced a disproportionate intensity of COVID admissions (exceeding the average ratio of COVID admissions/bed) |
$50,000 per admission |
| Children's Hospital Distribution (part of Safety Net Hospital Distribution) |
August 14, 2020 |
$1.4 billion |
80 free-standing children's hospitals either exempt hospital under the Medicare IPPS or a HRSA Children's Hospital Graduate Medical Education facility |
2.5 percent of net revenue from patient care |
| Nursing Home and Infection Control Distribution |
August 27, 2020 |
$2.5 billion |
All certified nursing homes with at least six certified beds
|
Per-facility payment of $10,000, plus a per-bed payment of $1,450 to support increased testing, staffing, and PPE needs
|
| Phase 3 General Distribution |
October 1, 2020 (announced) |
$20 billion |
All providers eligible for a previous PRF distribution, plus new 2020 providers and behavioral health providers may apply |
Providers that have not yet received General Distribution payments of at least 2 percent of patient care revenues will receive payments up to 2 percent of patient care revenues.
Providers that have already received patients of at least 2 percent of patient care revenues may be eligible for an add-on payment.
|
| Nursing Home Incentive Payments (First Round) |
October 28, 2020 |
$333 million |
Over 10,000 nursing homes with a COVID-19 infection rate below the rate in their county and a COVID-19 death rate below a national mortality threshold |
80 percent of bonus payment available to providers that have positive performance on the infection measure, and 20 percent of bonus payment available to providers that have positive performance on the mortality measure |