Application Deadline for Enhanced Provider Relief Fund August 3

In April, the AAE joined the ADA and the Organized Dentistry Coalition to advocate for expansion of the CARES Act’s Provider Relief Fund to include not only Medicare providers but also dentists accepting Medicaid. Subsequently, the Provider Relief Fund was expanded to include Medicaid and CHIP providers, and, on July 10, thanks to additional efforts by the ADA, the Fund was expanded further to include some non-Medicaid dental providers as well. Endodontists must apply through the Enhanced Provider Relief Fund Payment Portal by August 3. The Fund may provide a reimbursement of up to 2% of annual reported patient revenue. However, per instructions provided by the U.S. Department of Health and Human Services (HHS), applicants must also meet additional eligibility requirements as follows.

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

1. Must not have received payment from the $50 billion General Distribution; and
2. Either
   1. Must have either (i) directly billed their state Medicaid/CHIP programs or Medicaid managed care plans for healthcare-related services during the period of January 1, 2018, to December 31, 2019, or (ii) own (on the application date) an included subsidiary that has either directly billed their state Medicaid/CHIP programs or Medicaid managed care plans for healthcare-related services during the period of January 1, 2018, to December 31, 2019; or
   2. Must be a dental service provider who has either (i) directly billed health insurance companies for oral healthcare-related services, or (ii) owns (on the application date) an included subsidiary that has directly billed health insurance companies for oral healthcare-related services; or
   3. Must be a licensed dental service provider who does not accept insurance and has either (i) directly billed patients for oral healthcare-related services, or (ii) who owns (on the application date) an included subsidiary that does not accept insurance and has directly billed patients for oral healthcare-related services;
3. Must have either (i) filed a federal income tax return for fiscal years 2017, 2018 or 2019 or (ii) be an entity exempt from the requirement to file a federal income tax return and have no beneficial owner that is required to file a federal income tax return. (e.g. a state-owned hospital or healthcare clinic); and
4. Must have provided patient care after January 31, 2020; and
5. Must not have permanently ceased providing patient care directly, or indirectly through included subsidiaries; and
6. If the applicant is an individual, have gross receipts or sales from providing patient care reported on Form 1040, Schedule C, Line 1, excluding income reported on a W-2 as a (statutory) employee.