ARPA Enhanced Funding

Overview:

On October 1, 2021, the Centers for Medicare and Medicaid Services (CMS) authorized Utah to make limited-term supplemental payments to Home and Community Based Services (HCBS) Waiver providers for three years. The three year period is retroactive to April 1, 2021, and extends through March 31, 2024. These supplemental payments are temporary and funded with American Rescue Plan Act (ARPA), HCBS Enhanced Funding to address the increase in expenses incurred and workforce challenges that have emerged from the COVID-19 pandemic.

Providers will receive quarterly payments equal to five percent of the total amount each provider was reimbursed for claims paid in the previous quarter. The supplemental payments will exclude any denied claims.

Who Qualifies:

All Medicaid providers, including support coordination and case management agencies, who billed for services provided under Utah’s approved 1915(c) HCBS waivers and for services delivered through both traditional and self-administered service provider arrangements are eligible to receive the quarterly supplemental payments. 

What to Do:

In order to qualify for supplemental payments, eligible providers must complete an attestation of the following:

  1. An understanding that these are time-limited payments.
  2. An agreement that a portion of the funds will be used to address direct-care worker issues.
  3. An agreement that funds will be used to expand, enhance or strengthen HCBS or other applicable services authorized under ARPA Section 9817.

 

Complete the Attestation Now


To complete the Attestation Form, a provider must input their NPI/API number (National Provider Identifier/Atypical Provider Identifier).  Division of Services for People with Disabilities (DSPD) providers can find their API by visiting the USTEPS Provider Interface (UPI):

  1. Click “Reports” from the main menu
  2. Choose the “Administration” section of the report portal
  3. Run the “API Lookup Tool”

Payment Information:

A provider’s attestation applies until the end of the program, March 31, 2024, or until the provider’s attestation is rescinded in writing by emailing ARPA-HCBS@utah.gov. The provider will not be required to “request” future supplemental quarterly payments. Once the attestation is confirmed, the state will determine and submit payments to the providers at the next payment interval.

If a provider makes an attestation on or before March 31, 2022, the attestation will be effective retroactively to April 1, 2021. An attestation provided in any subsequent quarter will only be effective back to the first day of the quarter in which the attestation is made.

Because CMS authorized these payments on October 1, 2021, a provider's first payment will include a payment for two quarters: the first quarter, April 1, 2021 - June 30, 2021, and the second quarter, July 1, 2021 - September 30, 2021.

We understand the need to make these payments to providers as quickly as possible.  To issue our first run of supplemental payments, providers that complete their Attestation Form no later than 11:59 P.M. on October 13, 2021, will receive payments by November 1, 2021.

For providers that submit their Attestation Form after October 13, 2021, the State will process supplemental payments bi-weekly through November.  After November, the supplemental payments will be made quarterly in the first month of each quarter.

Contact:

If you have questions, please contact Utah Medicaid at ARPA-HCBS@utah.gov.