August 17, 2021

Program Optimization and Funding Usage:Staffing, Federal Funding and Guidance during COVID-19

Our Experts

Allen DavisDirector of Recovery

12 years of experience managing major disaster recovery operations with FEMA’s PA program. Served as PA Group Supervisor, assisted in the redesign of the PA Program including Grants Portal and Manager, authored sections of the PAPPG, Infrastructure SME for Catastrophic Planning Team. Recovery Director for Tidal Basin for the last 2 years.

Mark Misczak, CEMChief Operating Officer

30-year career with over 23 years leading FEMA’s most complex recovery operations. National expert in disaster recovery efforts. Managed consulting activities to identify, claim, and close out more than $8 billion in Public Assistance (PA) and FEMA Hazard Mitigation (HM) grantfunding.

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Agenda

Recovery funding available to healthcare facilities and hospitals to combat COVID-19

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Staffing: FEMA Public Assistance and avoiding duplication of benefits

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Federal Funding Eligibility and Allowable Uses

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COVID-19 Healthcare Recovery Funding Streams

FEMA Public Assistance

CARES Act

HHS Funding

American Rescue Plan Act (ARPA)

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Funding Eligibility and Allowable Uses

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FEMA PA Specific Eligibility – non-exhaustive list+ Staff Time & Admin Costs+ Staff Resources via Direct Federal Assistance

(DFA)+ PPE, New Equipment & Related Services+ Temporary Relocation and Alternate Cares

Sites

Analyze and understand program initiatives that receive funding prior to investing money.

Taking an integrated program management approach to federal funds can aide hospitals into spending the funds properly and help with understanding if additional support is needed through a third-party consultant.

Funding Eligibility and Allowable Uses (cont.)

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ARPA+ Supporting Public Health Response + Replace Public Sector Revenue Loss + Premium Pay for Essential workers

HHS+ Allowed healthcare providers to offset COVID-

19 response efforts and used for loss of revenue

CARES+ Initial funding stream at the onset of the

pandemic

Understanding how much money programs have already received in relief efforts, how much is allocated in new bills and how much funding a facility will receive is crucial to utilizing federal funding streams.

Funding Eligibility and Allowable Uses (cont.)

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Payment Received Period(Payments Exceeding $10,000 in Aggregate Received)

Deadline to Use Funds Reporting Time Period

Period 1 From April 10, 2020 to June 30, 2020 June 30, 2021 July 1 to September 30, 2021

Period 2 From July 1, 2020 to December 31, 2020 December 31, 2021 January 1 to March 31, 2022

Period 3 From January 1, 2021 to June 30, 2021 June 30, 2022 July 1 to September 30, 2022

Period 4 From July 1, 2021 to December 31, 2021 December 31, 2022 January 1 to March 31, 2023

Staffing

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FEMA obligation is not fast

Can submit an expedited Project Worksheet under current FEMA delivery model

Must submit an RPA for FEMA PA

Must demonstrate that your facility requires additional staff

Avoiding Duplication of Benefits

FEMA explicitly prohibits duplication of benefits

Many hospitals run into this problem when applying for FEMA assistance specifically

FEMA considers themselves the payers of last resort

Labor for COVID under PA must be in direct response to COVID or it will not be obligated through FEMA

For anything to be approved, FEMA must confirm that no duplication of funding exists prior to approval

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Resources

CARES Act Provider Relief Fund: General Information

Provider Relief Fund FAQs

ARPA Policy Brief

Treasury's Submission Portal

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Questions?