Recently, the Centers for Medicare and Medicaid Services (CMS) announced that RHCs and FQHCs may request lump sum payments for administering COVID-19 vaccinations prior to settlement of cost reports.  Lump sum amounts will be determined based on 100 percent reasonable cost, similar to influenza and pneumococcal vaccines.

To request a lump sum payment in advance of cost report settlement, providers must select one of the following methods for calculating the amount of the lump sum:

  • Data from the providers most recently submitted cost report, more specifically, influenza and pneumococcal vaccine costs; or
  • 60 to 90 days of actual COVID-19 vaccine and administration costs.

Additional required supporting information may vary depending on the Medicare Administrative Contractor (MAC) assigned to the provider.  Submissions will be reviewed within 30 days of receipt.

If you have any questions or need assistance determining additional supporting documentation required for your assigned MAC, please contact our Albany office at (229) 883-7878 or our Atlanta office at (404) 220-8494.

At Draffin Tucker, LLP we are committed to providing our clients with the latest information related to COVID-19.  Please do not hesitate to contact us with any questions or concerns.  Visit our COVID-19 webpage for more information and updates (https://draffin-tucker.com/covid-19/).

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