Don't Miss Out!  Apply Now for Phase 4 and ARP Rural Distributions

• The application is now open for both Provider Relief Fund (PRF) Phase 4 and American Rescue Plan (ARP) Rural payments.
• Apply via the Provider Relief Fund Application and Attestation Portal 
• Review the Application Instructions Webpages
• The application will close on October 26, 2021 at 11:59 p.m. EST. Applications must undergo a number of validation checks before financial information is submitted so providers are encouraged to begin their application as soon as possible to ensure they are able to meet the deadline. Information on the documents and information needed to apply can be found in the resources following.
• In order to streamline the application process and minimize administrative burdens, providers will apply for both programs in a single application, and HRSA will use existing Medicaid, Children's Health Insurance Program (CHIP), and Medicare claims data in calculating portions of these payments.

Application Resources

• Application Instructions (Download PDF file - 331 KB)
• Sample Application Form (PDF - 178 KB)
• “How to Apply” Flow Chart (PDF - 100 KB)
• Annual Revenues from Patient Care Worksheet* (XSLX - 26 KB)
• Annual Revenues Adjustment Worksheet* (XSLX - 26 KB)

* Persons using assistive technology may not be able to fully access information in this file. For assistance, please contact PRBInformation@hrsa.gov.

General Program Information

• Fact Sheet - General (PDF - 121 KB)
• Fact Sheet - Complex Organizational Structures (PDF - 185 KB)
• Frequently Asked Questions (FAQs)
• Provider Relief Fund and ARP Rural Payments Frequently Asked Questions (PDF - 564 KB)
• Stakeholder Toolkit (PDF - 1.19 MB)

Terms and Conditions

• Phase 4 - Terms and Conditions (PDF - 213 KB)

COVID-19 Links

1. Center for Disease Control

2. NYS Department of Health

3. Fingerlakes Vaccine Hub