ALL dentists are now eligible to apply for funding through the federal Enhanced Provider Relief Fund. This represents a significant potential benefit and a very big accomplishment for ADA advocacy.
Previously, funding was only available to Medicaid and Children’s Health Insurance Program (CHIP) dental providers. Eligible dentists will receive a reimbursement of 2% of their annual reported revenue.
Keep in mind that a dentist cannot have already received a payment from the relief fund for Medicare or Medicaid and they must have treated patients during 2020, still be in practice and have filed a 1040 form. The requirements are listed below.
Act now! The application deadline is July 24.
Below is information on eligibility and the link to the portal to apply.
The U.S. Department of Health and Human Services has set up a Provider Support Line (866) 569-3522 to assist with questions.
Overview and Eligibility
Apply for funding through the Enhanced Provider Relief Fund
To be eligible to apply, a dental provider must meet all of the following requirements:
- must not have received payment from the initial $50 billion Medicare-focused General Distribution; and
- must not have received payment from the $15 billion Medicaid and CHIP Distribution; and
- must have either (i) filed a federal income tax return for fiscal years 2017, 2018 or 2019 or (ii) be an entity exempt from the requirement to file a federal income tax return and have no beneficial owner that is required to file a federal income tax return (e.g. a state-owned hospital or healthcare clinic); and
- must have provided patient dental care after January 31, 2020; and
- must not have permanently ceased providing patient dental care directly, or indirectly through included subsidiaries; and
- if the applicant is an individual, have gross receipts or sales from providing patient dental care reported on Form 1040, Schedule C, Line 1, excluding income reported on a W-2 as a (statutory) employee.
The U.S. Department of Health and Human Services (HHS) will use a curated list of dental practice Taxpayer Identification Numbers to determine eligibility, but it will work to validate applicants who are not on the list. Providers with TINs on the list must meet other eligibility requirements, including operating in good standing and not being excluded from receiving federal payments. When entering their TIN in the portal, dentists should not use dashes as this will result in their number not processing correctly.
Dentists who previously received payments from the Medicare general distribution or the Medicaid and CHIP distribution — even if they rejected and returned the payment — are not eligible to apply now, but they may be eligible in future distributions of the fund, according to HHS. The ADA has been advocating for this eligibility restriction to be lifted.