COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured

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Temporary Pause of New Enrollments
The HRSA COVID-19 Uninsured Program Portal new provider enrollment process is temporarily paused while HRSA implements a process review. New provider enrollment will be fully back online on Friday, February 11, 2022. During this time, providers without a One Healthcare ID can still initiate a request for an ID but will not be able to complete enrollment prior to February 11. This pause does not prevent currently enrolled providers from submitting new claims or the processing of submitted claims.
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About the program
The U.S. Department of Health and Human Services (HHS), provides claims reimbursement to health care providers generally at Medicare rates for testing uninsured individuals for COVID-19, treating uninsured individuals with a COVID-19 diagnosis, and administering COVID-19 vaccines to uninsured individuals.
A separate program, the HRSA COVID-19 Coverage Assistance Fund, is available to reimburse providers for COVID-19 vaccine administration to underinsured individuals whose health plan either does not include COVID-19 vaccination as a covered benefit or covers COVID-19 vaccine administration but with cost-sharing.
How it works
Health care providers who have conducted COVID-19 testing or provided treatment for uninsured individuals with a COVID-19 primary diagnosis on or after February 4, 2020 can request claims reimbursement through the program electronically and will be reimbursed generally at Medicare rates, subject to available funding. Providers can also request reimbursement for COVID-19 vaccine administration. Steps will involve: enrolling as a provider participant, checking patient eligibility, submitting patient information, submitting claims, and receiving payment via direct deposit.
To participate, providers must attest to the following at registration:
For whom can claims be submitted
Providers may submit claims for individuals in the U.S. without health care coverage.
What's covered
Reimbursement under this program will be made for qualifying testing for COVID-19, for treatment services with a primary COVID-19 diagnosis, and for qualifying COVID-19 vaccine administration fees, as determined by HRSA (subject to adjustment as may be necessary), which include the following:
Claims will be subject to Medicare timely filing requirements.
Services not covered by traditional Medicare will also not be covered under this program. In addition, the following services are excluded:
All claims submitted must be complete and final.
Claims Submission
Information on claims submission can be found at:
Claims Reimbursement
Claims for reimbursement will be priced as described below for eligible services (see coverage details above).
When can I learn more?
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Date Last Reviewed: February 2022
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