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How to get paid by HRSA or Cares Act?

The United States Department of Health and Human Services has found a brilliant way to show how truly grateful they are for the dedication shown by physicians and many other health care providers during this pandemic.

The Paycheck Protection Program and Health Care Enhancement Act, the Families First Coronavirus Response Act, the CRRSA (Coronavirus Response and Relief Supplemental Appropriations Act), as well as the CARES (Coronavirus Aid, Relief, and Economic Security) Act – the HHS, as part of enacted legislation, shall provide claims reimbursement, generally at Medicare rates, to all the health care providers for not only testing individuals who were uninsured for COVID-19 and were without health care coverage but also for treating them with a COVID-19 primary diagnosis on or after Feb 4, 2020, as well as for administering COVID-19 vaccine to them.

What Does The Process Look Like?

Getting started, these healthcare providers will need to enroll as provider participants, then check patient eligibility, submit patient information, and submit claims electronically to finally be able to receive payment through direct deposit.

In order to participate in this program, they will have to use a unique identifier that would enable their entry into the COVID-19 Uninsured Program of HRSA. Their One Healthcare ID, which was previously called Optum ID, will serve as the unique identifier. If one does not have this ID, there are other ways to be found on the One Healthcare ID registration page to help them participate.

You will be asked to validate your TIN (Taxpayer Identification Number). You will find many of the steps auto-populated in case a provider is already contracted and has a Link account through UnitedHealthcare.

It should also be kept in mind that TIN validation can take about 1 to 2 business days to process and that for every TIN there can only be one individual who can serve as the program administrator.

Next, Optum Pay will need to be set up. In case a healthcare provider already has one Optum Pay direct deposit account, there won’t be a need for them to create a new one.

Soon after TIN validation is complete, the Provider roster step will be made available.

This is a step that will provide verification only for the HRSA COVID-19 Uninsured Program; it is not a network contract.

This verification can take around 5 to 7 business days to process.

But, if one is a provider in the UnitedHealthcare’s network, they likely won’t need to take this step. They would need to follow their standard My Practice Profile, CAQH, or roster management process. There is a tracker present on the program portal that will indicate whether one needs to take this step.

Next, the healthcare provider will need to complete their patient attestation before they upload the patient roster.

Finally, they will be submitting claims electronically for reimbursement for their professional and facility services.

Final Word

Clearly, HRSA COVID-19 Claims Reimbursement Process for Healthcare Providers as well as Facilities for Testing, Treatment, and Vaccine Administration for Uninsured Individuals is as seamless as it is an incredible step in the direction of government expressing its gratitude to people who have proved themselves to be the true heroes in this time of grave need.

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