COVID-19 & Rural Health Clinics

**NARHC will update this page with additional resources
throughout the COVID-19 Pandemic. You can find all Technical Assistance Webinar recordings, slides, and transcripts here.
**

HRSA Programs - RHC Funding and Resource Opportunities

Name of Grant/Allocation

Important Dates

Amount/Purpose

 Reporting Requirements & Other Links

Rural Health Clinic COVID-19 Testing and Mitigation Program

Automatically Awarded: June 2021.

Period of Availability:
January 1, 2021 - December 31, 2022

$100,000 per RHC

To be used for COVID-19 testing, COVID-19 mitigation, and COVID-19 testing and mitigation related expenses.

Terms and Conditions
Mandatory Reporting
Webinars
NARHC FAQs

Questions? Email
RHCcovidreporting@narhc.org

HRSA COVID-19 Testing Supply Program

Ongoing -
Available Now

Direct shipments of at-home COVID-19 tests, and Point-of-Care Testing Supplies.

NARHC FAQs

NARHC TA Virtual Office Hours

HRSA RHC COVID-19 Therapeutic Treatment Program Ongoing- Available Now  Direct access to COVID-19 therapeutics Paxlovid and Lagevrio (molnupiravir). 

NARHC FAQs 

Questions? Email
RHCcovidsupplies@narhc.org

 

Rural Health Clinic Vaccine Confidence (RHCVC) Program

Program Start Date: July 1, 2021

 

Last day to apply for No Cost Extension on EHB: May 31, 2022


Program End Date:
June 30, 2022 (last day to incur expenses)

Last day to draw down funds in PMS and complete closeout requirements: September 28, 2022

Approximately $49,500 per awarded RHC.

To improve vaccine confidence and counter vaccine hesitancy through improving education, access, etc.

HRSA Program Page

How to Draw Funds from PMS

Questions? Email
vaxconfidence@narhc.org

Electronic Handbook (EHB)

HRSA Health Grants Workshop Web Series

Payment Management System (PMS)

Vaccine Confidence Ideas from RHCs

Rural Health Clinic COVID-19 Vaccine Distribution Program


Ongoing –
Available Now

Direct shipments of the COVID-19 Vaccine (Pfizer, Moderna, and/or Johnson and Johnson).

Adult and pediatric COVID-19 vaccines (including those for children under 5) available.

Program Overview

Rural Health Clinic COVID-19 Testing Program

Automatically Awarded beginning May 2020.

Period of Availability:
January 27, 2020 - December 31,2021

$49,461.42 Per RHC.

To be used for COVID-19 testing and COVID-19 related expenses.

Terms and Conditions
Mandatory Reporting and Program Closeout
Webinars
RHC Experiences with the COVID-19 Testing Program


Provider Relief Fund

RHCs have received multiple tranches or allocations of money from the federal government to help with COVID-19. It is important for RHCs to understand why they received the money they did, and what strings may be attached to each allocation. General details.

Name of Grant/Allocation

Important Dates

Amount/Purpose

Reporting Requirements & Other Links

Phase 1 General Distribution

Automatically Awarded April 10, 2020

Period of Availability: January 1, 2020 -
June 30, 2021

6.2% of 2019 Medicare Reimbursement

Provider Relief Fund Portal

 

Reporting portal open

July 1 - September 30, 2021
(Plus Extensions)

Phase 2 General Distribution

Automatically Awarded April 24, 2020

Period of Availability:
January 1, 2020 -
June 30, 2021

2% of 2018 revenue minus Phase 1 Distribution

Provider Relief Fund Portal

Reporting portal open

July 1 - September 30, 2021

(Plus Extensions)

Rural Targeted Allocation

Automatically Awarded May 6, 2020

Period of Availability: January 1, 2020 -
June 30, 2021

$103k + 3.6% operating expenses (Ind.), Graduated Base Payment + 1.97% of operating expenses (PB)

Provider Relief Fund Portal

 

Reporting portal open
July 1 - September 30, 2021
(Plus Extensions)

Phase 3 General Distribution

 

Variable

Provider Relief Fund Portal

Reporting portal open
January  1 - March 31, 2022

Phase 4 General Distribution and American Rescue Plan Rural (Application Required)

Award beginning December 2021

Period of Availability: January 1, 2020 - December 31, 2022

 Variable

Provider Relief Fund Portal

Report portal open
January 1 - March 31, 2023


Telehealth Policy Change During COVID-19

Medicare telehealth policy has shifted dramatically for the entire healthcare industry in response to COVID-19. Rural health clinic telehealth policy has also shifted significantly, but in different ways than fee-for-service providers.

The following chart breaks down the types of telehealth services RHC can bill for and how to bill for them during the Public Health Emergency. Post-PHE telehealth will require legislative action.

All RHCs billing for telehealth should review the MLN Matters document: New and Expanded Flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) During the COVID-19 Public Health Emergency (PHE).

In December 2020 CMS announced significant telehealth coinsurance changes.

Beginning January 2022 and not connected to the PHE, RHCs can bill and be reimbursed for mental health services provided via telehealth. More information can be found here.

 

Name of Telehealth Service

Brief Description

How to Bill

Amount (2022)

Virtual Check-In or Virtual Care Communications

Remote evaluation - G2010
Brief communication with patient (5 min) - G2012

G0071
Bill on UB-04
No modifier necessary
Rev Code 052X

$23.88

Digital e-Visits

 

Remote evaluation and management

G0071
Bill on UB-04
No modifier
Rev Code 052X

$23.88

Telehealth Visits

 

One to one substitutes for in-person services/visits

List of allowable services maintained by CMS

G2025
Bill on UB-04 Modifier 95 optional
Modifier CS (for services where cost sharing is waived
Rev Code 052X

$97.24

Telephone Audio-Only E/M Visits

Telephone E/M99441-99443

Can bill as G2025 services

$97.24

 

Public Health Emergency Duration

Many temporary waivers are in effect for the duration of the PHE. The Secretary of Health and Human Service posts their Public Health Emergency Declarations here:https://www.phe.gov/emergency/news/healthactions/phe/Pages/default.aspx. The PHE can be renewed for 3 months at a time. Commercial payers may issue their own policies with their own timelines that may or may not depend on the federal government’s declaration of a public health emergency.

**DISCLAIMER**

These resources are supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,750,000 with 0% financed with non-governmental sources for the project period of June 2021 through May 2023. The contents are those of NARHC and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.