FAHCS ARPA PAYMENTS

July 21, 2023nts

More information on the FAHCS WIN...

19% ARPA Payments

Good news for your Friday!! FAHCS reported previously that by working with AHCA, we were able to obtain a 19% ARPA Payment based on payments received 7/1/2021 – 6/30/2022 and now we have more details to share. 

1) ARPA 19% One Time Payment - the payment is based on an AHCA analysis of one year's worth of claims payments between provider and plan.   the 19% payment is based upon the actual payments paid out over that one-year period of 7/1/2021 – 6/30-2022. The payment amount is NOT based on the fee schedule amounts. The specific amounts were prescribed by AHCA, so the plans have zero latitude in calculating their own 19% payment amounts. The additional money providers will be receiving was calculated by AHCA and NOT THE PLANS.

2) Payment Deadline—all $181M has been distributed to the plans and there was a June 30^thdeadline for distribution in the original public notice to the providers (shown below). Furthermore, AHCA will NOT claw back any of these funds, so providers should proceed with forecasting that includes the full amount of the 19% payment amount. None of the funds will be returned.

3) Payments by June 30 – if you have NOT received any payments from Plans by now, you should use the contact information below provided in the public notice and contact EACH PLAN to make sure payments are made to your company.  We have heard from some FAHCS members who have sought out their payments by this method and HAVE been paid.  Regarding TPAs: AHCA did not limit nor require payment distributions one way or the other. So, payments may come from both the plans or TPAs where applicable. (Tom Griffin spoke to Coastal and they will be distributing funds on behalf of the plans they serve.) 

4) Payment & Taxation – to date, FAHCS has not received information on the taxation of these payments.  Please research with your legal counsel for more information. 

NOTICE:  FAQ for ONE-TIME Retention Payment for Non-HCBS Waiver payments

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