Let’s start at HRSA’s Phase 4 Fact Sheet (hrsa.gov) to view a summary of the instructions for the PRF Phase 4 funded with $17 Billion, including:

Who is eligible? Providers or suppliers who bill Medicare fee-for-service (Parts A, B, and C), Medicaid (fee-for-service or managed care) and/or CHIP as well as:

  • Dental Service Provider that billed insurance companies from 1/1/2019 to 12/31/2020
  • Behavioral Health provider that billed insurance from 1/1/2019 to 12/31/2020


The first step is to determine whether your practice might be eligible for a Phase-4 of the Provider Relief Fund subsidy. The rules are incomplete as well as fluid, and HRSA plans on not deciding the formula on which practices will receive funds until after they receive all of the applications by 10/26/21.

What does this mean for your chances of receiving the Phase-4 subsidy? As best as we can tell, there is no guarantee whether your practice will receive any funds.

According to HRSA: HRSA will determine the exact percentage for the payments and supplements after analyzing data from all the applications received to ensure we remain within our budget and funds are distributed equitably. 

It appears that one of the main considerations, however, is for your practice to show a decrease in revenues and/or an increase in expenses for 7/1/20-3/31/21 as compared to Q1, Q3 and Q4 of 2019.  We’re not sure if they will be comparing quarter to quarter or the total of the three most quarters ended 3/31/21 to the three quarters listed above for 2019.

How to Apply:

Start by getting your TIN validated and filling out the administrator attestation form.

  • First, log in to website link at https://cares.linkhealth.com/#/ and sign in at the top right corner.  Make sure you have your Login and Password used for prior Provider Relief Fund applications ready. If necessary, reset the password at this time.  (Note: Providers who have not logged into the Provider Relief Fund Application and Attestation Portal for more than 90 days will need to first reset their password before starting a new application.) 
  • The Validate TIN process can take up to 4 days, but that’s OK since that will give you time to gather up the information and complete the required Excel spreadsheets to be uploaded to the Portal.

 Once the TIN Validation is accepted, expect to receive an email confirmation with a code number required to continue the application process.

Before moving to the Phase-4 application, you will first be asked to attest to the PRF payments previously received. You’ll see on the main page once you log in that there is an “Attest to Payments and Terms” section. Simply click on that link and input your prior PRF subsidy received and the last 6 digits of the account number where that subsidy was deposited.

Once the TIN is Validated and you’ve attested to prior payments, you will finally be granted access into your application. An example of the application is available at: HRSA Provider Relief Fund – Phase 4 and American Rescue Plan (ARP) Rural Distribution Revenue Application.

If you’d like our help in completing this Phase-4 PRF application, please email us at practicehelp@schwartzaccountants.com. We ask that you complete the steps listed above to log into the Portal, reset your password, and attest to the prior PRF subsidies received prior to our meeting to submit the application.

Our fee for this service is $500 per application. And we won’t be able to refund this fee if you don’t end up receiving a Phase-4 subsidy.

Learn more at: HRSA Announces Phase 4 of the Provider Relief Fund | Schwartz & Schwartz PC (schwartzaccountants.com)