Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) may request lump sum payments for administering COVID-19 vaccines in advance of cost report settlement. CMS will pay you for COVID-19 vaccines and administration at 100% reasonable cost like influenza and pneumonia vaccines.
To request an interim payment prior to the annual cost report submission/settlement, submit one of the following:
1. Interim Form 2552-10, W/S M-4 (RHC Subunit), Form 222-17, W/S B-1 (RHC Freestanding), or Form 224-14, W/S B-1 (FQHC) for the current FYE to date (preferred); or
2. Estimated total cost of administrating COVID-19 vaccines and the program number of COVID-19 vaccines administered based on 60 -90 days of actual COVID-19 data.
Lump sum payments will be processed within 30 days of receipt of the request.
For this request, please use this attached form here.
Mail or email (preferred) your information to:
Haley Aguilar
PARD Reimbursement
Novitas Reimbursement, Inc.
2020 Technology Parkway, Suite 100
Mechanicsburg, PA 17050
Email: NovitasReimbursement@Novitas-Solutions.com
Loading...
