On Thursday, April 30, 2020, the Health Resources and Services Administration (HRSA) held a webinar on its COVID-19 Uninsured Program Portal.

On the webinar, HRSA and UnitedHealth Group employees explained that providers can begin using the Portal to be reimbursed for COVID-19 testing or treatment that has been provided to uninsured individuals in the U.S. with a COVID-19 diagnosis on or after February 4. Claims can start to be submitted on May 6 and will be subject to the same timely filing requirements required by Medicare. HRSA’s FAQ describes approximately $2 billion is allocated from the Families First Coronavirus Response Act and the Paycheck Protection Program and Health Care Enhancement Act to provide reimbursements under this program.

To enroll properly on the COVID-19 Uninsured Program Portal, healthcare providers should take the following steps:

  • (1) validate the Taxpayer Identification Number (TIN) for the facility in which the care was provided;
  • (2) register for an Optum Pay Automated Clearing House (ACH);
  • (3) upload the provider roster;
  • (4) enter the necessary patient information and receive a temporary member ID; and
  • (5) submit claims for reimbursement using the new payer ID 95964 for this program.

In terms of signing up for the direct deposit/ACH on Optum Pay, healthcare providers will need to include the following information:

  • (1) TIN or Employer Identification Number;
  • (2) business name;
  • (3) provider type;
  • (4) name of Administrator(s);
  • (5) contact information;
  • (6) bank name and contact information;
  • (7) financial institution account information;
  • (8) voided check or bank letter; and
  • (9) a signed and dated W-9.

Beginning on May 6, healthcare providers may start submitting patient information one at a time or through a batch upload on the portal and should receive a temporary member ID for each patient within 24 hours of submitting the necessary information. The patient’s temporary member ID will be valid for 30 days. HRSA anticipates that payments should begin to be received on or around May 18.

HRSA’s website on the COVID-19 Uninsured Program can be found here, the HRSA COVID-19 Uninsured Program Portal can be accessed here, and an interactive guide to the program can be found here.

Norton Rose Fulbright attorneys will continue to provide relevant COVID-19 updates for healthcare providers on the Health Law Pulse.