No, providers should not adjust the expenses on the Medicare cost report based on PRF payments received. However, providers must adhere to HRSA’s guidance regarding appropriate uses of PRF payments, in order to ensure that the money is used for permissible purposes (namely, to prevent, prepare for, or respond to coronavirus, and for health care related expenses or lost revenues that are attributable to coronavirus) and that the uses of the PRF payments do not violate the prohibition on using PRF money to reimburse expenses or losses that have been reimbursed from other sources or that other
sources are obligated to reimburse.
Recipients may find additional information on the terms and conditions of the PRF at
Questions regarding use of the funds, pursuant to the Fund Terms and Conditions and any
questions about overpayments should be directed to HRSA.