THE COVID FUNDING DANCE PRESENTED BY: AMY BRISSON & JOSHUA - - PowerPoint PPT Presentation

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THE COVID FUNDING DANCE PRESENTED BY: AMY BRISSON & JOSHUA - - PowerPoint PPT Presentation

Dec 05, 2022 10 likes •236 views

THE COVID FUNDING DANCE PRESENTED BY: AMY BRISSON & JOSHUA DUAME INTRODUCTION: ABOUT AMY Graduated in 2008 with a degree in Accounting from Northern Illinois University Worked in the HOA Management Industry in Las Vegas, NV for

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SLIDE 1

THE COVID FUNDING DANCE

PRESENTED BY: AMY BRISSON & JOSHUA DUAME

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SLIDE 2

INTRODUCTION: ABOUT AMY

  • Graduated in 2008 with a degree in Accounting from Northern Illinois University
  • Worked in the HOA Management Industry in Las

Vegas, NV for over 5 years

  • FQHC expertise: accounting, revenue cycle, budgeting, dashboard reporting, operations, HRSA financial reporting,

compliance and site visits, and more

  • Former Chief Financial Officer for an FQHC in Portland, OR
  • Joined CLC in March 2018; opened MN Office in March 2019; became Partner in January 2020
  • I am happily married with a 3-year-old son
  • Currently Interim CFO at 3 community health centers across the nation
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INTRODUCTION: ABOUT JOSHUA

  • Graduated in 2012 with a Master’s of Accountancy degree from Gonzaga University

and earned CPA in 2013

  • Worked in Public Accounting with BDO for 2+ years before moving into an

Accounting Manager position with a Manufacturing company

  • FQHC expertise: accounting, revenue cycle, budgeting, dashboard reporting, HRSA

financial reporting, compliance and site visits, and more

  • Joined CLC in March 2016; became Partner in January 2020
  • Served as CFO and/or Interim CFO for numerous clinics
  • I am married with 5 kids and enjoy the outdoors in the Pacific NW
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SLIDE 4

AGENDA

  • HRSA Funding – H8C, H8D, H8E
  • Provider Relief Fund
  • Rural Relief Fund
  • Uninsured Reimbursement
  • Paycheck Protection Program
  • The COVID Funding Dance
  • Questions and Discussion
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SLIDE 5

HRSA FUNDING – CORONAVIRUS STIMULUS

  • One-time funding to support preventing, preparing for, and responding to coronavirus

disease

  • Formula used for award calculation: $50,464 plus $.50 per patient reported on the 2018

UDS, and $2.50 per uninsured patient reported on the 2018 UDS

  • Activities can date back to 1/20/20
  • Budget period 3/15/20-3/14/21
  • Budget submission was due in the EHB 4/23/20
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SLIDE 6

HRSA FUNDING – CARES ACT

  • One-time funding to prevent, diagnose, and treat COVID-19 and/or maintain or increase

health center capacity and staffing levels during a coronavirus-related public health emergency

  • Formula used for award calculation: $503,000 plus $15.00 per patient reported on the

2018 UDS, and $30.00 per uninsured patient reported on the 2018 UDS

  • Activities can date back to 1/20/20
  • Budget period 3/21/20-3/20/21
  • Budget submission was due in the EHB 5/8/20
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SLIDE 7

HRSA FUNDING – EXPANDED CAPACITY FOR CORONAVIRUS TESTING (ECT)

  • Funds are from the Paycheck Protect Program and Health Care Enhancement Act
  • One-time funding to support health centers to prevent, prepare for, and respond to COVID-19,

specifically to fund expenses to purchase, administer, and expand capacity for testing

  • Formula used for award calculation: $98,329 plus $15 per patient reported on the 2019 UDS
  • Activities can date back to 1/20/20
  • Budget period 5/1/20-4/30/21
  • Budget submission due in the EHB 6/6/20
  • Technical Assistance website: https://bphc.hrsa.gov/program-opportunities/expanding-capacity-

coronavirus-testing-supplemental-funding

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SLIDE 8

CARES ACT PROVIDER RELIEF FUND

  • Payment #1 – portion of distribution from $30 bil distribution
  • Deposited directly to providers who received Medicare

payments in 2019

  • Dates of use not specified
  • Purpose is to cover COVID related expenses not covered by
  • ther sources and loss revenue
  • Required to complete attestation within 30 days of receiving

funds to accept

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SLIDE 9

CARES ACT PROVIDER RELIEF FUND

  • Payment #2 – portion of distribution from $20 bil distribution
  • Deposited directly to providers based on portion of 2018 net patient revenues reported on cost

reports

  • Dates of use not specified
  • Purpose is to cover COVID related expenses not covered by other sources and loss revenue
  • Required to complete attestation within 30 days of receiving funds to accept
  • Submit revenue loss date for March & April 2020
  • You may not have received payment #2 if payment #1 was more than the total amount you were expected

to receive

  • How to calculate what you are supposed to receive:

Your total 2018 cost report revenue / $2.5 Trillion (total national net revenue) * $50 Billion (total HHS distribution)

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SLIDE 10

CARES ACT PROVIDER RELIEF FUND

  • Important Links:
  • Attestation portal: https://covid19.linkhealth.com/#/step/1
  • General Distribution portal to submit income and revenue loss information:

https://covid19.linkhealth.com/docusign/#/step/1

  • T

erms & Conditions: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/terms- conditions/index.html

  • Future reporting:
  • No later than 10 days after the end of each calendar quarter – any entity receiving more than

$150,000 total in funds from the CARES Act, the Families First Coronavirus Response Act, or any other Act making appropriations for the COVID-19 response

  • Per HHS, more guidance will be released on this
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SLIDE 11

RURAL RELIEF FUND

  • Deposited directly by HHS
  • Funds are from the Public Health and Social Services Emergency

Fund

  • Dates of use not specified
  • Purpose is to cover COVID related expenses not covered by
  • ther sources and loss revenue
  • Similar terms & conditions to CARES Act Provider Relief Fund
  • Required to complete attestation within 30 days of receiving

funds to accept – the same portal as the Cares Act Provider Relief Fund

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SLIDE 12

UNINSURED REIMBURSEMENT

  • Part of Families First Coronavirus Response Act (FFCRA)
  • https://coviduninsuredclaim.linkhealth.com/
  • $1 billion in total funding
  • Dates of service on or after Feb 4, 2020
  • Reimbursement for COVID-19 testing and testing-related visits, as well as treatment for those with a COVID-19

diagnosis for uninsured

  • What’s Covered
  • Specimen collection, diagnostic and antibody testing
  • Testing related visits
  • Treatment only with confirmed COVID-19 diagnosis
  • When available – FDA-approved vaccines will be covered
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SLIDE 13

UNINSURED REIMBURSEMENT CONTINUED…

  • Attestation Process – done through Optum
  • You will need the following:
  • Optum ID or you can create one
  • TIN
  • Provider roster – takes 5-7 business days to process unless you are already in the

UnitedHealthcare’s network

  • Add and attest to patient roster
  • Must attest that patient does not have insurance nor will be reimbursed by another payer
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SLIDE 14

PAYMENT PROTECTION PROGRAM (PPP)

  • Eligibility: Businesses including health centers less than 500 employees
  • Loan with possibility of forgiveness for retaining employees.
  • At least 75% of the loan proceeds MUST be spent on payroll. Operational expenses must

be less than 25%, and anything over this amount will not be forgivable.

  • Maturity of 2 years and an interest rate of 1%
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PAYMENT PROTECTION PROGRAM (PPP)

  • Forgiveness Application:

https://www.sba.gov/sites/default/files/2020-05/3245- 0407%20SBA%20Form%203508%20PPP%20Forgiveness%20Application.pdf

  • FAQs:

https://home.treasury.gov/system/files/136/Paycheck-Protection-Program-Frequently- Asked-Questions.pdf

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PAYMENT PROTECTION PROGRAM (PPP)

  • Period of Use:
  • Covered Period – 8 weeks starting the day the loan was distributed
  • Optional – Alternative Payroll Covered Period – can choose to elect a different 8-week period

for payroll expenses

  • Uses
  • Payroll
  • Mortgage interest
  • Rent
  • Utilities
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SLIDE 17

PAYMENT PROTECTION PROGRAM (PPP)

  • Payroll - this cannot exceed an annual salary greater than $100,000
  • Salaries, wages, compensation
  • Group health benefits, excluding employee contributions
  • Retirement benefit cost, excluding employee contributions
  • State and local payroll taxes (employer portion ONLY)
  • You CANNOT use these funds for Federal taxes
  • Mortgage interest payments
  • Rent payments
  • Utility payments – electricity, gas, water, transportation, telephone, or internet access – services must

have began prior to 2/15/2020

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SLIDE 18

PAYMENT PROTECTION PROGRAM (PPP)

  • Important Tips
  • Check with your lending institution about the forgiveness application progress
  • They may have an online application
  • Gather all required documentation – this includes payroll reports, invoice copies and statements

(for non-payroll expenses these date back to Feb 2020), cancelled checks, lease agreements, bank statements, etc

  • Keep detailed reports and spreadsheets, invoice copies
  • Track costs separately in your accounting record
  • ***Documentation for the PPP MUST be saved on file for 6 years after the date the loan is forgiven
  • r repaid in full
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SLIDE 19

THE COVID FUNDING DANCE

  • What to use first?!
  • Contingency planning and frequency adjustments

and monitoring

  • Plan A
  • Plan B
  • Plan C
  • For funding with a longer time period, plan carefully
  • Think long term about any purchases and the use after COVID
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SLIDE 20

THE COVID FUNDING DANCE

  • Document, document, document
  • Be very careful not to double dip
  • Pay attention to your procurement policy
  • What is the affect on other income resources?
  • Do you need to re-budget other grants?
  • Check threshold of re-budget so you know when a

prior approval is needed to re-budget

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SLIDE 21

QUESTIONS AND DISCUSSION

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SLIDE 22

CONTACT INFORMATION

Amy Brisson, Owner/Consultant Community Link Consulting PO Box 189 Cottage Grove, MN 55016 651-538-4869 amyb@communitylinkconsulting.com Joshua Duame, Owner/Consultant Community Link Consulting PO Box 276 Newman Lake, WA 99025 509-209-9479 joshuad@communitylinkconsulting.com

www.communitylinkconsulting.com