June 11, 2020

Providers eligible for additional allocations must provide HHS with information, and these providers must also agree to the program Terms and Conditions. This portal is currently open to Medicaid/CHIP Providers.

Apply For Funding

Medicaid/CHIP Provider Relief Fund Payment Forms and Guidance

HHS expects to distribute $15 billion to eligible Medicaid and CHIP providers. The payment to each provider will be at least 2 percent of reported gross revenue from patient care; the final amount each provider receives will be determined after the data is submitted, including information about the number of Medicaid patients providers serve. Before applying through the enhanced provider relief portal, applicants should:

Read the Medicaid Provider Distribution Instructions – PDF*

Download the Medicaid Provider Distribution Application Form – PDF*