Registration Open for Provider Relief Fund Recipients of Payments Exceeding $10,000

Recipients of Provider Relief Fund (PRF) payments exceeding $10,000 in aggregate must register in the Provider Relief Fund Reporting Portal. At present, there is no deadline for completing registration in the portal. Recipients who register will receive a notification about when they should complete the second step of submitting reporting requirements information on the use of PRF payments. The Health Resources and Services Administration (HRSA) will send an email to the email address provided during the registration process.

The registration process will take at least 20 minutes to complete and must be completed in one session. Information required to register includes:

• Tax ID Number (TIN) (or other number submitted during the application process (e.g., Social Security Number, Employer Identification Number (EIN));
• Business name (as it appears on a W-9) of the reporting entity;
• Contact information (name, phone number, email) of the person responsible for submitting the report;
• Address (street, city, state, five digit zip code) of the reporting entity as it appears on a W-9);
• TIN(s) of subsidiaries (if a provider is reporting on behalf of subsidiary(ies) – in a list delimited by commas, e.g.,123456789,987654321,135791357);
• Payment information (for any of the payments received)
  • TIN of entity that received the payment
  • Payment amount
  • Mode of payment (check or direct deposit ACH)
  • Check number or ACH settlement date