Provider Notice Issued 09/02/2020

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Date:   September 2, 2020                                                   

To:      All Medical Assistance Program Providers

Re:      Time Sensitive Update – Federal Provider Relief Fund Payments for Medicaid and CHIP Providers

In recent months, the Department has informed Medicaid and CHIP providers via multiple informational notices regarding funding opportunities for federal COVID-19 CARES Act Provider Relief Fund payments. Information about these funding opportunities can be found on the federal Centers for Medicare & Medicaid Services dedicated website located here.

HFS is sharing this update to providers: The deadline to apply for Phase 2 General Distribution Funding has been extended to September 13, 2020.

As a reminder, to be eligible to apply for Phase 2 General Distribution, the applicant must:

·         Have billed Medicare fee-for-service during the period of January 1, 2019 - December 31, 2019; or

·         Be a Medicare Part A provider that experienced a change in ownership and billed Medicare fee-for-service in 2019 or 2020, which prevented the otherwise eligible provider from receiving Phase 1 General Distribution payment;

·         Have billed Medicaid / CHIP programs or Medicaid managed care plans for health-related services between January1, 2018 – December 31, 2019; or

·         Have billed a health insurance company for oral healthcare-related services as a dental service provider; or

·         Be a licensed dental service provider who does not accept insurance and has billed patients for oral healthcare-related services

Additionally, to be eligible to apply, the applicant must meet all of the following requirements:

·         Filed a federal income tax return for fiscal years 2017, 2018, 2019; or be exempt from filing a return;

·         Provided patient care after January 31, 2020 (Note: patient care includes health care, services and support, as provided in a medical setting, at home, or in the community);

·         Did not permanently cease providing patient care directly or indirectly;

·         Did not receive a previous General Distribution payment totaling approximately 2 percent of annual patient revenue; and

·         For individuals, reported on Form 1040 (or other tax form) gross receipts or sales from providing patient care

Qualifying Illinois Medicaid or CHIP providers are encouraged to apply

Kelly Cunningham

Interim Medicaid Administrator