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HRSA Health Resources & Services Administration

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Frequently Asked Questions

Based on user feedback from this site and recent program webcasts, we have identified and answered your top questions to ensure this process is as simple and easy to use as possible. Please see our frequently asked questions.

HRSA
COVID-19 Claims Reimbursement

to Health Care Providers and Facilities for Testing and Treatment of the Uninsured

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Coverage Details

For dates of service or admittance on or after February 4, 2020, providers will be eligible to seek reimbursement for COVID-19 testing and testing-related visits for uninsured individuals, as well as treatment for uninsured individuals with a COVID-19 diagnosis. All claims will be subject to the same timely filing requirements required by Medicare and available funding.

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What's Covered

Reimbursement under this program will be made for qualifying testing for COVID-19 and treatment services with a primary COVID-19 diagnosis, as determined by HRSA (subject to adjustment as may be necessary), which include the following:

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Specimen collection, diagnostic and antibody testing.

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Testing-related visits including in the following settings: office, urgent care or emergency room or telehealth.

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Treatment: office visit (including telehealth), emergency room, inpatient, outpatient/observation, skilled nursing facility, long-term acute care (LTAC), acute inpatient rehab, home health, DME (e.g., oxygen, ventilator), emergency ambulance transportation, non-emergent patient transfers via ambulance, and FDA approved drugs as they become available for COVID-19 treatment and administered as part of an inpatient stay.

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When an FDA-approved vaccine becomes available, it will also be covered.

View billing codes for more info.

Excluded

Excluded Services

Services not covered by traditional Medicare will also not be covered under this program. In addition, the following services are excluded:

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Any treatment without a COVID-19 primary diagnosis, except for pregnancy when the COVID-19 code may be listed as secondary.

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Hospice services.

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Outpatient prescription drugs.


All claims submitted must be complete and final. Interim bills, corrected claims, late charges, voided claim transactions and appeals will not be accepted.

Customer Support

Our service staff members are available to provide real-time technical support, as well as service and payment support. Hours of operation are 8 a.m. to 8 p.m. Monday – Friday in the caller's local time zone.

Provider Support Line: 866-569-3522 for TTY dial 711

We're listening

We are committed to making the HRSA COVID-19 Uninsured Program as simple and accessible as possible. We are also monitoring your inquiries and working hard to answer your questions. Let us know how we're doing, and we'll update our resources based on your input.

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