The Health Resources and Services Administration disbursed $60 million in Phase 4 PRF funds to 293 providers, leaving about $1.6 billion remaining to be distributed.

There are still 1% of Phase 4 applicants to be reviewed, the agency noted.

HRSA, part of the Department of Health and Human Services, has added a fifth reporting period for certain Provider Relief Fund recipients to detail how they used the money. The fourth reporting period opens on January 1, 2023, while the fifth opens on July 1, 2023. The September 9 distribution is the 10th set of funds the federal government has sent since the program began in 2020.

It’s significant that HRSA is still reviewing applications after nearly a year, which means HRSA wanted to take a closer look at the details, said Nicole Fallon, vice president of health policy and integrated services for LeadingAge. McKnight Long Term Care News in an email.

“One of our members who just received his Phase 4 payment in July or August had a fire in his retirement home in the middle of the pandemic,” she said, citing an example of difficult cases that take more time to be reviewed by the HRSA. “The good news is that no one was injured and everyone was evacuated quickly. However, due to the unusual circumstances to demonstrate the losses and expenses, it took HRSA longer to process their claim. »

Fallon said a number of the other pending applications are from larger or multi-site organizations, so their fundraising requests are likely to be much larger in scope. She said tracking data on how many NFCs have applied for these funds is difficult because applicants must select the type of care setting and provider that accounts for the largest proportion of their income.

“So sometimes it can be assisted living or independent living versus an 80-bed SNF,” Fallon explained. “If I had to guess, I’d say most care homes applied for Phase 4 if they still had ongoing losses and/or coronavirus expenses. We have heard of very few people who have received enough PRF, as well as other COVID-19 funding, to cover all of their coronavirus-related losses and expenses. The PRF rarely fills the entire financial hole created by the pandemic. »

Fallon added that reduced occupancy was significantly reducing revenue, and while care homes received targeted PRF distributions and targeted care home infection control funds, some of the financial support had strict requirements.

“NHIC funds, for example, could only be used to pay for infection control expenses, which included things like PPE, testing, staffing, technology to enable connection with families and other infection control expenses,” she noted.