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HomeMy WebLinkAboutExhibiter DEPARTMENT OF HEALTH & HUMAN SERVICES Acceptance of Terms and Conditions If you receive a payment from funds appropriated in the Public Health and Social Services Emergency Fund for provider relief ("Relief Fund") under Public Law 116-136 and retain that payment for at least 30 days without contacting HHS regarding remittance of those funds, you are deemed to have accepted the following Terms and Conditions. Please also indicate your acceptance below. This is not an exhaustive list and you must comply with any other relevant statutes and regulations, as applicable. Your commitment to full compliance with all Terms and Conditions is material to the Secretary's decision to disburse these funds to you. Non-compliance with any Term or Condition is grounds for the Secretary to recoup some or all of the payment made from the Relief Fund. These Terms and Conditions apply directly to the recipient of payment from the Relief Fund. In general, the requirements that apply to the recipient also apply to subrecipients and contractors, unless an exception is specified. Relief Fund Payment from Initial $30 Billion General Distribution Terms and Conditions • The "Payment" means the funds received from the Public Health and Social Services Emergency Fund ("Relief Fund"). The Recipient means the healthcare provider, whether an individual or an entity, receiving the Payment. • The Recipient certifies that it billed Medicare in 2019; provides or provided after January 31, 2020 diagnoses, testing, or care for individuals with possible or actual cases of COVID-19; is not currently terminated from participation in Medicare or precluded from receiving payment through Medicare Advantage or Part D; is not currently excluded from participation in Medicare, Medicaid, and other Federal health care programs; and does not currently have Medicare billing privileges revoked. • The Recipient certifies that the Payment will only be used to prevent, prepare for, and respond to coronavirus, and that the Payment shall reimburse the Recipient only for health care related expenses or lost revenues that are attributable to coronavirus. • The Recipient certifies that it will not use the Payment to reimburse expenses or losses that have been reimbursed from other sources or that other sources are obligated to reimburse. • The Recipient shall submit reports as the Secretary determines are needed to ensure compliance with conditions that are imposed on this Payment, and such reports shall be in such form, with such content, as specified by the Secretary in future program instructions directed to all Recipients. er DEPARTMENT OF HEALTH & HUMAN SERVICES • The Recipient certifies that all information it provides as part of its application for the Payment, as well as all information and reports relating to the Payment that it provides in the future at the request of the Secretary or Inspector General, are true, accurate and complete, to the best of its knowledge. The Recipient acknowledges that any deliberate omission, misrepresentation, or falsification of any information contained in this Payment application or future reports may be punishable by criminal, civil, or administrative penalties, including but not limited to revocation of Medicare billing privileges, exclusion from federal health care programs, and/or the imposition of fines, civil damages, and/or imprisonment. • Not later than 10 days after the end of each calendar quarter, any Recipient that is an entity receiving more than $150,000 total in funds under the Coronavirus Aid, Relief, and Economics Security Act (P.L. 116-136), the Coronavirus Preparedness and Response Supplemental Appropriations Act (P.L. 116-123), the Families First Coronavirus Response Act (P.L. 116-127), or any other Act primarily making appropriations for the coronavirus response and related activities, shall submit to the Secretary and the Pandemic Response Accountability Committee a report. This report shall contain: the total amount of funds received from HHS under one of the foregoing enumerated Acts; the amount of funds received that were expended or obligated for reach project or activity; a detailed list of all projects or activities for which large covered funds were expended or obligated, including: the name and description of the project or activity, and the estimated number of jobs created or retained by the project or activity, where applicable; and detailed information on any level of sub -contracts or subgrants awarded by the covered recipient or its subcontractors or subgrantees, to include the data elements required to comply with the Federal Funding Accountability and Transparency Act of 2006 allowing aggregate reporting on awards below $50,000 or to individuals, as prescribed by the Director of the Office of Management and Budget. • The Recipient shall maintain appropriate records and cost documentation including, as applicable, documentation described in 45 CFR § 75.302 — Financial management and 45 CFR § 75.361 through 75.365 — Record Retention and Access, and other information required by future program instructions to substantiate the reimbursement of costs under this award. The Recipient shall promptly submit copies of such records and cost documentation upon the request of the Secretary, and Recipient agrees to fully cooperate in all audits the Secretary, Inspector General, or Pandemic Response Accountability Committee conducts to ensure compliance with these Terms and Conditions. • The Secretary has concluded that the COVID-19 public health emergency has caused many healthcare providers to have capacity constraints. As a result, patients that would ordinarily be able to choose to receive all care from in -network healthcare providers may no longer be able to receive such care in -network. Accordingly, for all care for a presumptive or actual case of COVID-19, Recipient certifies that it will not seek to collect from the patient out-of-pocket expenses in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in - network Recipient. er DEPARTMENT OF HEALTH & HUMAN SERVICES The following statutory provisions also apply: General Provisions in FY 2020 Consolidated Appropriation SEC. 202. Executive Pay. None of the funds appropriated in this title shall be used to pay the salary of an individual, through a grant or other extramural mechanism, at a rate in excess of Executive Level II: SEC. 210. Funding Prohibition for Gun Control Advocacy. None of the funds made available in this title may be used, in whole or in part, to advocate or promote gun control. SEC. 503. Lobbying (a) No part of any appropriation contained in this Act or transferred pursuant to section 4002 of Public Law 111-148 shall be used, other than for normal and recognized executive -legislative relationships, for publicity or propaganda purposes, for the preparation, distribution, or use of any kit, pamphlet, booklet, publication, electronic communication, radio, television, or video presentation designed to support or defeat the enactment of legislation before the Congress or any State or local legislature or legislative body, except in presentation to the Congress or any State or local legislature itself, or designed to support or defeat any proposed or pending regulation, administrative action, or order issued by the executive branch of any State or local government, except in presentation to the executive branch of any State or local government itself. (b) No part of any appropriation contained in this Act or transferred pursuant to section 4002 of Public Law 111-148 shall be used to pay the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before the Congress or any State government, State legislature or local legislature or legislative body, other than for normal and recognized executive -legislative relationships or participation by an agency or officer of a State, local or tribal government in policymaking and administrative processes within the executive branch of that government. (c) The prohibitions in subsections (a) and (b) shall include any activity to advocate or promote any proposed, pending or future Federal, State or local tax increase, or any proposed, pending, or future requirement or restriction on any legal consumer product, including its sale or marketing, including but not limited to the advocacy or promotion of gun control. SEC. 506. Prohibits Use of Federal Funds for Abortions. er DEPARTMENT OF HEALTH & HUMAN SERVICES (a) None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for any abortion. (b) None of the funds appropriated in this Act, and none of the funds in any trust fund to which funds are appropriated in this Act, shall be expended for health benefits coverage that includes coverage of abortion. (c) The term "health benefits coverage" means the package of services covered by a managed care provider or organization pursuant to a contract or other arrangement. SEC. 507 Limitations on Abortion Funding Prohibition (a) The limitations established in the preceding section shall not apply to an abortion— (1) if the pregnancy is the result of an act of rape or incest; or (2) in the case where a woman suffers from a physical disorder, physical injury, or physical illness, including a life -endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death unless an abortion is performed. (b) Nothing in the preceding section shall be construed as prohibiting the expenditure by a State, locality, entity, or private person of State, local, or private funds (other than a State's or locality's contribution of Medicaid matching funds). (c) Nothing in the preceding section shall be construed as restricting the ability of any managed care provider from offering abortion coverage or the ability of a State or locality to contract separately with such a provider for such coverage with State funds (other than a State's or locality's contribution of Medicaid matching funds). (d)(1) None of the funds made available in this Act may be made available to a Federal agency or program, or to a State or local government, if such agency, program, or government subjects any institutional or individual health care entity to discrimination on the basis that the health care entity does not provide, pay for, provide coverage of, or refer for abortions. (2) In this subsection, the term "health care entity" includes an individual physician or other health care professional, a hospital, a provider -sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of health care facility, organization, or plan. Prohibits Use of Funds for Embryo Research SEC. 508. Prohibits Use of Funds for Embryo Research er DEPARTMENT OF HEALTH & HUMAN SERVICES (a) None of the funds made available in this Act may be used for— (1) the creation of a human embryo or embryos for research purposes; or (2) research in which a human embryo or embryos are destroyed, discarded, or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in utero under 45 CFR 46.204(b) and section 498(b) of the Public Health Service Act (42 U.S.C. 289g(b)). (b) For purposes of this section, the term "human embryo or embryos" includes any organism, not protected as a human subject under 45 CFR 46 as of the date of the enactment of this Act, that is derived by fertilization, parthenogenesis, cloning, or any other means from one or more human gametes or human diploid cells. SEC. 509. Prohibits Promotion of Legalization of Controlled Substances (a) None of the funds made available in this Act may be used for any activity that promotes the legalization of any drug or other substance included in schedule I of the schedules of controlled substances established by section 202 of the Controlled Substances Act except for normal and recognized executive -congressional communications. (b) The limitation in subsection (a) shall not apply when there is significant medical evidence of a therapeutic advantage to the use of such drug or other substance or that federally sponsored clinical trials are being conducted to determine therapeutic advantage. SEC. 515. (b) Prohibits Asking Candidates for Federal Scientific Advisory Committees Their Political Affiliations; Prohibits Distribution of Intentionally False Information (b) None of the funds made available in this Act may be used to disseminate information that is deliberately false or misleading. SEC. 520. Pornography. (a) None of the funds made available in this Act may be used to maintain or establish a computer network unless such network blocks the viewing, downloading, and exchanging of pornography. (b) Nothing in subsection (a) shall limit the use of funds necessary for any Federal, State, tribal, or local law enforcement agency or any other entity carrying out criminal investigations, prosecution, or adjudication activities. SEC. 521. Prohibits Funding ACORN or Its Affiliates or Subsidiaries. None of the funds made available under this or any other Act, or any prior Appropriations Act, may be provided to er DEPARTMENT OF HEALTH & HUMAN SERVICES the Association of Community Organizations for Reform Now (ACORN), or any of its affiliates, subsidiaries, allied organizations, or successors. SEC. 527. Prohibits Federal Funding for Needle Exchange Except in Limited Circumstances. Notwithstanding any other provision of this Act, no funds appropriated in this Act shall be used to purchase sterile needles or syringes for the hypodermic injection of any illegal drug: Provided, That such limitation does not apply to the use of funds for elements of a program other than making such purchases if the relevant State or local health depatttnent, in consultation with the Centers for Disease Control and Prevention, determines that the State or local jurisdiction, as applicable, is experiencing, or is at risk for, a significant increase in hepatitis infections or an HIV outbreak due to injection drug use, and such program is operating in accordance with State and local law. Government -wide General Provisions SEC. 718. Propaganda. No part of any appropriation contained in this or any other Act shall be used directly or indirectly, including by private contractor, for publicity or propaganda purposes within the United States not heretofore authorized by the Congress. SEC. 732. Privacy Act. None of the funds made available in this Act may be used in contravention of section 552a of title 5, United States Code (popularly known as the Privacy Act), and regulations implementing that section. SEC. 742. Confidentiality Agreements. (a) None of the funds appropriated or otherwise made available by this or any other Act may be available for a contract, grant, or cooperative agreement with an entity that requires employees or contractors of such entity seeking to report fraud, waste, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or contactors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information. (b) The limitation in subsection (a) shall not contravene requirements applicable to Standard Form 312, Form 4414, or any other form issued by a Federal department or agency governing the nondisclosure of classified information. SEC. 743. Nondisclosure Agreements (a) No funds appropriated in this or any other Act may be used to implement or enforce the agreements in Standard Forms 312 and 4414 of the Government or any other nondisclosure policy, form, or agreement if such policy, form, or agreement does not contain the following provisions: "These provisions are consistent with and do not supersede, conflict with, or x DEPARTMENT OF HEALTH & HUMAN SERVICES otherwise alter the employee obligations, rights, or liabilities created by existing statute or Executive order relating to (1) classified information, (2) communications to Congress, (3) the reporting to an Inspector General of a violation of any law, rule, or regulation, or mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety, or (4) any other whistleblower protection. The definitions, requirements, obligations, rights, sanctions, and liabilities created by controlling Executive orders and statutory provisions are incorporated into this SEC. 743. (a) No funds appropriated in this or any other Act may be used to implement or enforce the agreements in Standard Forms 312 and 4414 of the Government or any other nondisclosure policy, form, or agreement if such policy, form, or agreement does not contain the following provisions: "These provisions are consistent with and do not supersede, conflict with, or otherwise alter the employee obligations, rights, or liabilities created by existing statute or Executive order relating to (1) classified information, (2) communications to Congress, (3) the reporting to an Inspector General of a violation of any law, rule, or regulation, or mismanagement, a gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety, or (4) any other whistleblower protection. The definitions, requirements, obligations, rights, sanctions, and liabilities created by controlling Executive orders and statutory provisions are incorporated into this agreement and are controlling.": Provided, That notwithstanding the preceding provision of this section, a nondisclosure policy form or agreement that is to be executed by a person connected with the conduct of an intelligence or intelligence -related activity, other than an employee or officer of the United States Government, may contain provisions appropriate to the particular activity for which such document is to be used. Such form or agreement shall, at a minimum, require that the person will not disclose any classified information received in the course of such activity unless specifically authorized to do so by the United States Government. Such nondisclosure forms shall also make it clear that they do not bar disclosures to Congress, or to an authorized official of an executive agency or the Department of Justice, that are essential to reporting a substantial violation of law. (b) A nondisclosure agreement may continue to be implemented and enforced notwithstanding subsection (a) if it complies with the requirements for such agreement that were in effect when the agreement was entered into. (c) No funds appropriated in this or any other Act may be used to implement or enforce any agreement entered into during fiscal year 2014 which does not contain substantially similar language to that required in subsection (a). SEC. 744. Unpaid Federal Tax Liability. None of the funds made available by this or any other Act may be used to enter into a contract, memorandum of understanding, or cooperative agreement with, make a grant to, or provide a loan or loan guarantee to, any corporation that has er DEPARTMENT OF HEALTH & HUMAN SERVICES any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability, where the awarding agency is aware of the unpaid tax liability, unless a Federal agency has considered suspension or debarment of the corporation and has made a determination that this further action is not necessary to protect the interests of the Government. SEC. 745. Criminal Felony Limitation. None of the funds made available by this or any other Act may be used to enter into a contract, memorandum of understanding, or cooperative agreement with, make a grant to, or provide a loan or loan guarantee to, any corporation that was convicted of a felony criminal violation under any Federal law within the preceding 24 months, where the awarding agency is aware of the conviction, unless a Federal agency has considered suspension or debarment of the corporation and has made a determination that this further action is not necessary to protect the interests of the Government. Other Appropriations Provisions 42 U.S.C. 289d note No funds appropriated under this Act or subsequent Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Acts shall be used by the National Institutes of Health, or any other Federal agency, or recipient of Federal funds on any project that entails the capture or procurement of chimpanzees obtained from the wild. For purposes of this section, the term `recipient of Federal funds' includes private citizens, corporations, or other research institutions located outside of the United States that are recipients of Federal funds. Other Statutory Provisions Trafficking in Persons This award is subject to the requirements of Section 106 (g) of the Trafficking Victims Protection Act of 2000, as amended (22 U.S.C. 7104) a. Provisions applicable to a recipient that is a private entity. 1. You as the recipient, your employees, subrecipients under this award, and subrecipients' employees may not i. Engage in severe forms of trafficking in persons during the period of time that the award is in effect; ii. Procure a commercial sex act during the period of time that the award is in effect; or iii. Use forced labor in the performance of the award or subawards under the award. 2. We as the Federal awarding agency may unilaterally terminate this award, without penalty, if you or a subrecipient that is a private entity — i. Is determined to have violated a prohibition in paragraph a.1 of this award term; or DEPARTMENT OF HEALTH & HUMAN SERVICES ii. Has an employee who is determined by the agency official authorized to terminate the award to have violated a prohibition in paragraph a.1 of this award term through conduct that is either - A. Associated with performance under this award; or B. Imputed to you or the subrecipient using the standards and due process for imputing the conduct of an individual to an organization that are provided in 2 CFR part 180, "OMB Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement)," as implemented by our agency at 2 CFR part 376. b. Provision applicable to a recipient other than a private entity. We as the Federal awarding agency may unilaterally terminate this award, without penalty, if a subrecipient that is a private entity- 1. Is determined to have violated an applicable prohibition in paragraph a.1 of this award term; or 2. Has an employee who is determined by the agency official authorized to terminate the award to have violated an applicable prohibition in paragraph a.1 of this award term through conduct that is either i. Associated with performance under this award; or ii. Imputed to the subrecipient using the standards and due process for imputing the conduct of an individual to an organization that are provided in 2 CFR part 180, "OMB Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement)," as implemented by our agency at 2 CFR part 376 c. Provisions applicable to any recipient. 1. You must inform us immediately of any information you receive from any source alleging a violation of a prohibition in paragraph a.1 of this award term 2. Our right to terminate unilaterally that is described in paragraph a.2 or b of this section: i. Implements section 106(g) of the Trafficking Victims Protection Act of 2000 (TVPA), as amended (22 U.S.C. 7104(g)), and ii. Is in addition to all other remedies for noncompliance that are available to us under this award. 3. You must include the requirements of paragraph a.1 of this award term in any subaward you make to a private entity. d. Definitions. For purposes of this award term: 1. "Employee" means either: i. An individual employed by you or a subrecipient who is engaged in the performance of the project or program under this award; or ii. Another person engaged in the performance of the project or program under this award and not compensated by you including, but not limited to, a volunteer or individual whose services are contributed by a third party as an in -kind contribution toward cost sharing or matching requirements. 2. "Forced labor" means labor obtained by any of the following methods: the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the x DEPARTMENT OF HEALTH & HUMAN SERVICES it1�`daan use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery. 3. "Private entity": i. Means any entity other than a State, local government, Indian tribe, or foreign public entity, as those terms are defined in 2 CFR 175.25. ii. Includes: A. A nonprofit organization, including any nonprofit institution of higher education, hospital, or tribal organization other than one included in the definition of Indian tribe at 2 CFR 175.25(b). B A for -profit organization. 4. "Severe forms of trafficking in persons," "commercial sex act," and "coercion" have the meanings given at section 103 of the TVPA, as amended (22 U.S.C. 7102) Whistleblower Protections You are hereby given notice that the 48 CFR section 3.908, implementing section 828, entitled "Pilot Program for Enhancement of Contractor Employee Whistleblower protections," of the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2013 (Pub. L. 112-239, enacted January 2, 2013) applies to this award. Human Subjects Protections If any activities under this project will involve human subjects in any research activities, you must provide satisfactory assurance of compliance with the participant protection requirement of the HHS/OASH Office of Human Research Protection (OHRP) prior to implementation of those research components. This assurance should be submitted to the OHRP in accordance with the appropriate regulations. Fraud, Abuse and Waste: The HHS Inspector General accepts tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement in Department of Health and Human Services' programs. Your information will be reviewed promptly by a professional staff member. Due to the high volume of information that they receive, they are unable to reply to submissions. You may reach the OIG through various channels. Internet: https://forms.oig.hhs.gov/hotlineoperations/index.aspx Phone: 1-800-HHS-TIPS (1-800-447-8477) Mail: US Department of Health and Human Services Office of Inspector General ATTN: OIG HOTLINE OPERATIONS PO Box 23489 Washington, DC 20026 For additional information visit https://oig.hhs.gov/fraud/report-fraud/index.asp WELLS FARO EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Currency: USD Bank: 121000248 Account: 2696204833948(FL) WELLS FARGO BANK, N.A. CITY OF MIAMI Payment Amount: Originator 156,856.74 Receiver Entry Class: Originator Company Name: Originator Company ID: Payment Detail CCD US HHS Stimulus 1911911912 Transaction Type: Entry Description: Receiver Name: Receiver ID: Credit HHSPAYMENT City Of Miami 596000375 Addenda Items: Trace: Settlement Date: Effective Date: Addenda Detail 0 124384872311039 04/17/2020 04/17/2020 Remittance (BPR) Transaction Type: Payment Amount: Credit/Debit: Method: Format: Originator ID Type: Originator ID: Originator Company ID: Receiver ID Type: Receiver ID: Receiver Account Type: Receiver Account Number: Effective Date: Note/Special Instruction (NTE) PAYMT ACCOMP. REMIT 156,856.74 C ACH CCP ABA T/R 124384877 1911911912 ABA T/R 121000248 DEMAND DEPOSIT 2696204833948 20200417 Description: Description: Note Reference Type: Description: Note Reference Type: Description: Reference ID (REF) PAYMENT ADDENDA FORMAT ERROR TOO MANY ELMENTS IN SEGMENT. PAYMENT TRN 1 750226564 1911911912 CARES ACT RELIEF PAYMENT HHS.GOV PAYMENT PH 866-569-3522 Reference ID Type: Reference ID: Date/Time Reference (DTM) TRACE NUMBER 124384872311039 Date Description: Date: Name (NI) SETTLE DATE/ORIGINAT 20200417 Entity ID Type: Name: ID Type: ID: Entity ID Type: Name: PAYEE City Of Miami ID CODE 596000375 PAYER US HHS Stimulus Page: 1 Note: Intraday information subject to change WELLS FARGO EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Payment Amount: Originator 73,670.38 Receiver Entry Class: Originator Company Name: Originator Company ID: Discretionary Data: Payment Detail CCD ELAVON MER SVCS 9990100039 MERCHANT ACTIVITY Transaction Type: Entry Description: Receiver Name: Receiver ID: Credit MERCH DEP CITY OF MIAM0000000000 8030254604 Addenda Items: Trace: Settlement Date: Effective Date: Addenda Detail 0 091000014794408 04/17/2020 04/17/2020 Remittance (BPR) Transaction Type: Payment Amount: Credit/Debit: Method: Format: Originator ID Type: Originator ID: Originator Company ID: Receiver ID Type: Receiver ID: Receiver Account Type: Receiver Account Number: Effective Date: Trace Number (TRN) PAYMT ACCOMP. REMIT 73,670.38 C ACH CCD ABA T/R 091000019 9990100039 ABA T/R 121000248 DEMAND DEPOSIT 2696204833948 20200417 Type: CURRENT TRAN TRACE # Trace: 091000014794408 Date/Time Reference (DTM) Date Description: Date: Date Description: Date: Name (N1) SETTLE DATE/ORIGINAT 20200417 EFFECTIVE 20200417 Entity ID Type: Name: ID Type: ID: Entity ID Type: Name: PAYEE CITY OF MIAM0000000000 ID CODE 8030254604 PAYER ELAVON MER SVCS Payment Amount: Originator 18,484.97 Receiver Entry Class: Originator Company Name: Originator Company ID: Discretionary Data: Payment Detail CCD ELAVON MER SVCS 9990100039 MERCHANT ACTIVITY Transaction Type: Entry Description: Receiver Name: Receiver ID: Credit MERCH DEP MIA CHANGEHE0000000000 8033275911 Addenda Items: Trace: Settlement Date: Effective Date: 0 091000014794365 04/17/2020 04/17/2020 Page: 2 Note: Intraday information subject to change WELLS FARGO EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Addenda Detail Remittance (BPR) Transaction Type: Payment Amount: Credit/Debit: Method: Format: Originator ID Type: Originator ID: Originator Company ID: Receiver ID Type: Receiver ID: Receiver Account Type: Receiver Account Number: Effective Date: Trace Number (TRN) PAYMT ACCOMP. REMIT 18,484.97 C ACH CCD ABA T/R 091000019 9990100039 ABA T/R 121000248 DEMAND DEPOSIT 2696204833948 20200417 Type: Trace: Date/Time Reference (DTM) CURRENT TRAN TRACE # 091000014794365 Date Description: Date: Date Description: Date: Name (N1) SETTLE DATE/ORIGINAT 20200417 EFFECTIVE 20200417 Entity ID Type: Name: ID Type: ID: Entity ID Type: Name: PAYEE MIA CHANGEHE0000000000 ID CODE 8033275911 PAYER ELAVON MER SVCS Payment Amount: Originator 9,187.00 Receiver Entry Class: Originator Company Name: Originator Company ID: Discretionary Data: Payment Detail CTX MIAMI-DADE COUNT 1269620669 ACH TRANSFER Transaction Type: Entry Description: Receiver Name: Receiver ID: Credit VENDOR PAY OF MIAMI 596000375 03 Addenda Items: Trace: Settlement Date: Effective Date: 6 091000016723551 04/17/2020 04/17/2020 Payment Amount: Originator 3,443.55 Receiver Entry Class: Originator Company Name: Originator Company ID: Discretionary Data: Payment Detail CCD ELAVON MER SVCS 9990100039 MERCHANT ACTIVITY Transaction Type: Entry Description: Receiver Name: Receiver ID: Credit MERCH DEP MIA MARINA A0000001005 385100300000725 Addenda Items: Trace: Settlement Date: Effective Date: 0 091000014794186 04/17/2020 04/17/2020 Page: 3 Note: Intraday information subject to change WELLS FARGO EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Addenda Detail Remittance (BPR) Transaction Type: PAYMT ACCOMP. REMIT Payment Amount: 3,443.55 Credit/Debit: C Method: ACH Format: CCD Originator ID Type: ABA T/R Originator ID: 091000019 Originator Company ID: 9990100039 Receiver ID Type: ABA T/R Receiver ID: 121000248 Receiver Account Type: DEMAND DEPOSIT Receiver Account Number: 2696204833948 Effective Date: 20200417 Trace Number (TRN) Type: Trace: Date/Time Reference (DTM) CURRENT TRAN TRACE # 091000014794186 Date Description: SETTLE DATE/ORIGINAT Date: 20200417 Date Description: EFFECTIVE Date: 20200417 Name (N1) Entity ID Type: PAYEE Name: MIA MARINA A0000001005 ID Type: ID CODE ID: 385100300000725 Entity ID Type: PAYER Name: ELAVON MER SVCS Payment Amount: Originator 2,917.17 Receiver Entry Class: PPD Transaction Type: Credit Originator Company Name: FCSO, INC. Entry Description: HCCLAIMPMT Originator Company ID: 6593514335 Receiver Name: CITY OF MIAMI Discretionary Data: FIRST COAST SVC OPT Receiver ID: 1821109612 Payment Detail Addenda Items: 0 Trace: 031100203046660 Settlement Date: 04/17/2020 Effective Date: 04/17/2020 Addenda Detail Remittance (BPR) Transaction Type: PAYMT ACCOMP. REMIT Payment Amount: 2,917.17 Credit/Debit: C Method: ACH Format: PPP Originator ID Type: ABA T/R Originator ID: 031100209 Originator Company ID: 6593514335 Receiver ID Type: ABA T/R Receiver ID: 121000248 Receiver Account Type: DEMAND DEPOSIT Receiver Account Number: 2696204833948 Effective Date: 20200417 Page: 4 Note: Intraday information subject to change WELLS FARGO EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Trace Number (TRN) Type: CURRENT TRAN TRACE # Trace: 806235186 Company ID: 1593514335 Reference ID (REF) Reference ID Type: TRACE NUMBER Reference ID: 031100203046660 Date/Time Reference (DTM) Date Description: SETTLE DATE/ORIGINAT Date: 20200417 Name (NI) Entity ID Type: PAYEE Name: CITY OF MIAMI ID Type: ID CODE ID: 1821109612 Entity ID Type: PAYER Name: FCSO, INC. Payment Amount: Originator 665.00 Receiver Entry Class: CTX Transaction Type: Credit Originator Company Name: STATE OF FLORIDA Entry Description: PAYMENTS Originator Company ID: 9001395052 Receiver Name: CITY OF MIAMI Receiver ID: 152898180581458 Payment Detail Addenda Items: 7 Trace: 091000014003889 Settlement Date: 04/17/2020 Effective Date: 04/17/2020 Addenda Detail Remittance (BPR) Transaction Type: PAYMENT ACCOMP REMIT Payment Amount: 665.00 Credit/Debit: C Method: ACH Format: CTX Originator ID Type: ABA T/R Originator ID: 091000019 Originator Account Type: DEMAND DEPOSIT Originator Account Number: 2079900545225 Originator Company ID: 9001395052 Receiver ID Type: ABA T/R Receiver ID: 121000248 Receiver Account Type: DEMAND DEPOSIT Receiver Account Number: 2696204833948 Effective Date: 20200417 Trace Number (TRN) Type: Trace: Reference ID (REF) CURRENT TRAN TRACE # 152898180581458 Reference ID Type: Reference ID: Reference Description: Date/Time Reference (DTM) TRACE NUMBER 091000014003889 ACH ASSIGNED TRACE NUMBER Date Description: SETTLE DATE/ORIGINAT Date: 20200417 Page: 5 Note: Intraday information subject to change WELLS FARO Name (NI) EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Entity ID Type: Name: Entity ID Type: Name: Communications Contact (PER) PAYEE CITY OF MIAMI PAYER STATE OF FLORIDA Contact Function Type: Name: Contact Number Type: Contact Number: ACCOUNTING DEPARTMEN DEPT. OF HIGHWAY SAFETY & MOTOR VEH TEL. (850) 617-3301 Accounts Receivable Open Item Reference (RMR) Reference ID Type: Reference ID: Payment Action Type: Amount Paid: SELLER'S INVC NBR EC041320 PAYMENT ON ACCOUNT 665.00 Payment Amount: Originator 615.91 Receiver Entry Class: Originator Company Name: Originator Company ID: Payment Detail CCD CIGNA 9751677627 Transaction Type: Entry Description: Receiver Name: Receiver ID: Credit HCCLAIMPMT /CITY OF MIAMI EMERG S 1821109612 Addenda Items: Trace: Settlement Date: Effective Date: Addenda Detail 0 091000012203010 04/17/2020 04/17/2020 Remittance (BPR) Transaction Type: Payment Amount: Credit/Debit: Method: Format: Originator ID Type: Originator ID: Originator Company ID: Receiver ID Type: Receiver ID: Receiver Account Type: Receiver Account Number: Effective Date: Trace Number (TRN) PAYMT ACCOMP. REMIT 615.91 C ACH CCP ABA T/R 091000019 9751677627 ABA T/R 121000248 DEMAND DEPOSIT 2696204833948 20200417 Type: Trace: Company ID: Reference ID (REF) CURRENT TRAN TRACE # 200414090026852 1591031071 Reference ID Type: TRACE NUMBER Reference ID: Date/Time Reference (DTM) 091000012203010 Date Description: SETTLE DATE/ORIGINAT Date: 20200417 Page: 6 Note: Intraday information subject to change WELLS FARO Name (N1) EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Entity ID Type: Name: ID Type: ID: Entity ID Type: Name: PAYEE /CITY OF MIAMI EMERG S ID CODE 1821109612 PAYER CIGNA Payment Amount: Originator 404.46 Receiver Entry Class: Originator Company Name: Originator Company ID: Discretionary Data: Payment Detail CCD AMERICAN EXPRESS 1134992250 PAYMENT DATE 20108 Transaction Type: Entry Description: Receiver Name: Receiver ID: Credit SETTLEMENT MARINE STADI1090175548 1090175548 Addenda Items: Trace: Settlement Date: Effective Date: Addenda Detail 0 091000016032705 04/17/2020 04/17/2020 Remittance (BPR) Transaction Type: Payment Amount: Credit/Debit: Method: Format: Originator ID Type: Originator ID: Originator Company ID: Receiver ID Type: Receiver ID: Receiver Account Type: Receiver Account Number: Effective Date: Trace Number (TRN) PAYMT ACCOMP. REMIT 404.46 C ACH CCD ABA T/R 091000019 1134992250 ABA T/R 121000248 DEMAND DEPOSIT 2696204833948 20200417 Type: Trace: Date/Time Reference (DTM) CURRENT TRAN TRACE # 091000016032705 Date Description: Date: Date Description: Date: Name (N1) SETTLE DATE/ORIGINAT 20200417 EFFECTIVE 20200417 Entity ID Type: Name: ID Type: ID: Entity ID Type: Name: PAYEE MARINE STADI1090175548 ID CODE 1090175548 PAYER AMERICAN EXPRESS Page: 7 Note: Intraday information subject to change WELLS FARGO EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Payment Amount: Originator 402.32 Receiver Entry Class: CCD Transaction Type: Credit Originator Company Name: MERCHANT SERVICE Entry Description: MERCH DEP Originator Company ID: 1841010148 Receiver Name: CM DINNER KEY MARINA 0 Discretionary Data: MERCHANT ACTIVITY Receiver ID: 8016259916 Payment Detail Addenda Items: 0 Trace: 042000019225154 Settlement Date: 04/17/2020 Effective Date: 04/17/2020 Addenda Detail Remittance (BPR) Transaction Type: PAYMT ACCOMP. REMIT Payment Amount: 402.32 Credit/Debit: C Method: ACH Format: CCD Originator ID Type: ABA T/R Originator ID: 042000013 Originator Company ID: 1841010148 Receiver ID Type: ABA T/R Receiver ID: 121000248 Receiver Account Type: DEMAND DEPOSIT Receiver Account Number: 2696204833948 Effective Date: 20200417 Trace Number (TRN) Type: Trace: Date/Time Reference (DTM) CURRENT TRAN TRACE # 042000019225154 Date Description: SETTLE DATE/ORIGINAT Date: 20200417 Date Description: EFFECTIVE Date: 20200417 Name (N1) Entity ID Type: PAYEE Name: CM DINNER KEY MARINA 0 ID Type: ID CODE ID: 8016259916 Entity ID Type: PAYER Name: MERCHANT SERVICE Payment Amount: Originator 289.71 Receiver Entry Class: CCD Transaction Type: Credit Originator Company Name: WEX BANK Entry Description: AP PAYMENT Originator Company ID: 1010526993 Receiver Name: CITY OF MIAMI Discretionary Data: 06192169 MERCH Receiver ID: MERC-AHT635514 Payment Detail Addenda Items: 0 Trace: 041001038455870 Settlement Date: 04/17/2020 Effective Date: 04/17/2020 Page: 8 Note: Intraday information subject to change WELLS FARGO EDI Payment Detail Report Custom As of 04/17/2020 Company: CITY OF MIAMI User: Elmita Bolivar 04/20/2020 11:11 AM ET Commercial Electronic Office® Treasury Information Reporting Addenda Detail Remittance (BPR) Transaction Type: PAYMT ACCOMP. REMIT Payment Amount: 289.71 Credit/Debit: C Method: ACH Format: CCD Originator ID Type: ABA T/R Originator ID: 041001039 Originator Company ID: 1010526993 Receiver ID Type: ABA T/R Receiver ID: 121000248 Receiver Account Type: DEMAND DEPOSIT Receiver Account Number: 2696204833948 Effective Date: 20200417 Trace Number (TRN) Type: Trace: Date/Time Reference (DTM) CURRENT TRAN TRACE # 041001038455870 Date Description: SETTLE DATE/ORIGINAT Date: 20200417 Date Description: EFFECTIVE Date: 20200417 Name (N1) Entity ID Type: PAYEE Name: CITY OF MIAMI ID Type: ID CODE ID: MERC-AHT635514 Entity ID Type: PAYER Name: WEX BANK Credit Total For Account 2696204833948(USD) 266,937.21 Account Net Total(USD) 266,937.21 Credit Total For Bank 121000248(USD) 266,937.21 Bank Net Total(USD) 266,937.21 Currency Credit Total(USD) 266,937.21 Currency Net Total(USD) 266,937.21 ---- END OF REPORT ---- Page: 9 Note: Intraday information subject to change Visit coronavirus.gov for the latest Coronavirus Disease (COVID-1 9) updates. Read the 30 Days to Slow the Spread Guidance - PDF (version en Espanol - PDF). HHS.gov FOR IMMEDIATE RELEASE April 10, 2020 U.S. Department of Health & Human Services Contact: HHS Press Office 202-690-6343 media@hhs.gov HHS to Begin Immediate Delivery of Initial $30 Billion of CARES Act Provider Relief Funding Today, the Department of Health and Human Services (HHS) is beginning the delivery of the initial $30 billion in relief funding to providers in support of the national response to COVID-19 as part of the distribution of the $100 billion provider relief fund provided for in the Coronavirus Aid, Relief, and Economic Security (CARES) Act recently passed by Congress and signed by President Trump. The $100 billion of funding will be used to support healthcare -related expenses or lost revenue attributable to coronavirus and to ensure uninsured Americans can get the testing and treatment they need without receiving a surprise bill from a provider. The initial $30 billion in immediate relief funds will begin being delivered to providers today. Recognizing the importance of delivering the provider relief funds in a fast, fair, and transparent manner, this initial broad -based distribution of the relief funds will go to hospitals and providers across the United States that are enrolled in Medicare. Facilities and providers are allotted a portion of the $30 billion based on their share of 2019 Medicare fee -for -service (FFS) reimbursements. These are payments, not loans, to healthcare providers, and will not need to be repaid. HHS and the Administration are working rapidly on additional targeted distributions to providers that will focus on providers in areas particularly impacted by the COVID-19 outbreak, rural providers, and providers of services with lower shares of Medicare FFS reimbursement or who predominantly serve the Medicaid population. This supplemental funding will also be used to reimburse providers for COVID-19 care for uninsured Americans. HHS is partnering with UnitedHealth Group (UHG) to deliver the initial $30 billion distribution to providers as quickly as possible. Providers will be paid via Automated Clearing House account information on file with UHG, UnitedHealthcare, or Optum Bank, or used for reimbursements from the Centers for Medicare & Medicaid Services (CMS). Providers who normally receive a paper check for reimbursement from CMS will receive a paper check in the mail for this payment as well, within the next few weeks. Within 30 days of receiving the payment, providers must sign an attestation confirming receipt of the funds and agreeing to the terms and conditions of payment. The portal for signing the attestation will be open the week of April 13, 2020 and will be linked from hhs.gov/providerrelief. UnitedHealth Group will donate all fees for the administration of the CARES Act provider relief fund. Visit hhs.gov/providerrelief for additional information. ### Note: All HHS press releases, fact sheets and other news materials are available at https://www.hhs.gov/news. Like HHS on Facebook § follow HHS on Twitter @HHSgov 7, and sign up for HHS Email Updates. Last revised: April 10, 2020 4/29/2020 CARES Act Provider Relief Fund 1 HHS.gov Visit coronavirus.gov for the latest Coronavirus Disease (COVID-19) updates. Read the 30 Days to Slow the Spread Guidance - PDF (version en Espanol - PDF). HHS.gov Coronavirus U.S. Department of Health & Human Services CARES Act Provider Relief Fund Update: HHS has begun distributing the remaining $20 billion of the $50 billion general distribution to Medicare providers to augment providers' allocations so that the whole $50 billion general distribution is allocated proportional to providers' share of net patient revenue. Medicare providers for whom HHS did not have adequate cost report data on file will need to submit their revenue information to the General Distribution Portal to be able to receive additional general distribution funds and agree to the Terms and Conditions for this additional distribution. Providers who received their additional money automatically will still need to submit their revenue information so that it can be verified via the portal. Click here for FAQs on the General Distribution Portal - PDF. The COVID-19 Uninsured Program Portal, which allows healthcare providers who have conducted COVID-19 testing or provided treatment for uninsured COVID-19 individuals on or after February 4, 2020 to request claims reimbursement, is now live. Providers can access the portal to register for the program at COVIDUninsuredClaim.HRSA.gov. The CARES Act Provider Relief Fund Payment Attestation Portal is open. Providers who have been allocated a payment must sign an attestation confirming receipt of the funds and agree to the terms and conditions within 30 days of payment. President Trump is providing support to healthcare providers fighting the COVID-19 pandemic. On March 27, 2020, the President signed the bipartisan CARES Act that provides $100 billion in relief funds to hospitals and other healthcare providers on the front lines of the coronavirus response. This funding will be used to support healthcare -related expenses or lost revenue attributable to COVID-19 and to ensure uninsured Americans can get testing and treatment for COVID-19. In allocating the funds, the Administration is working to address both the economic harm across the entire healthcare system due to the stoppage of elective procedures, and addressing the economic impact on providers incurring additional expenses caring for COVID-19 patients, and to do so as quickly and transparently as possible. $50 billion general allocation https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html 1 /4 4/29/2020 CARES Act Provider Relief Fund 1 HHS.gov $50 billion of the Provider Relief Fund is allocated for general distribution to Medicare facilities and providers impacted by COVID-19, based on eligible providers' net patient revenue. The initial $30 billion was distributed between April 10 and April 17, and the remaining $20 billion is being distributed beginning Friday, April 24. • To expedite providers getting money as quickly as possible, $30 billion was distributed immediately, proportionate to providers' share of Medicare fee -for -service reimbursements in 2019. On Friday, April 10, $26 billion was delivered to bank accounts. The remaining $4 billion of the expedited $30 billion distribution was sent on April 17. • This simple formula used the data on -hand to get the money out the door as quickly as possible. The Administration was transparent and upfront additional funds would be going out quickly to help providers with a relatively small share of their revenue coming from Medicare fee -for -service, such as children's hospitals. • HHS will begin distribution of the remaining $20 billion of the general distribution to these providers on April 24 to augment their allocation so that the whole $50 billion general distribution is allocated proportional to providers' share of net patient revenue. • On April 24, a portion of providers will automatically be sent an advance payment based off the revenue data they submit in CMS cost reports. Providers without adequate cost report data on file will need to submit their revenue information to the General Distribution Portal for additional general distribution funds. - Providers who receive their money automatically will still need to submit their revenue information so that it can be verifiedvia the General Distribution Portal • Payments will go out weekly, on a rolling basis, as information is validated, with the first wave being delivered at the end of this week (April 24, 2020). • Providers who receive funds from the general distribution have to sign an attestation confirming receipt of funds and agree to the terms and conditions of payment and confirm the CMS cost report. Click here to sign the attestation and accept the Terms and Conditions • The Terms and Conditions also include other measures to help prevent fraud and misuse of the funds. All recipients will be required to submit documents sufficient to ensure that these funds were used for healthcare -related expenses or lost revenue attributable to coronavirus. There will be significant anti -fraud and auditing work done by HHS, including the work of the Office of the Inspector General. • President Trump is committed to ending surprise bills for patients. As part of this commitment, as a condition to receiving these funds, providers must agree not to seek collection of out-of-pocket https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html 2/4 4/29/2020 CARES Act Provider Relief Fund I HHS.gov payments from a presumptive or actual COVID-19 patient that are greater than what the patient would have otherwise been required to pay if the care had been provided by an in -network provider. Targeted allocations Allocation for treatment of the uninsured Allocation for COVID-19 high impact areas ($10 billion) Allocation for rural providers ($10 billion) Allocation for Indian Health Service ($400 million) Additional allocations Helping ensure all Americans have access to care • The Families First Coronavirus Response Act, as amended by the CARES Act, requires private insurers to waive an insurance plan member's cost -sharing payments for COVID-19 testing. The President also secured funding to cover COVID-19 testing for uninsured Americans. • President Trump has also secured commitments from private insurers, including Humana, Cigna, UnitedHealth Group, and the Blue Cross Blue Shield system, to waive cost -sharing payments for treatment related to COVID-19 for plan members. • Additionally, President Trump is committed to ending surprise bills for patients. As part of this commitment, as a condition to receiving general funds, providers must agree not to seek collection of out-of-pocket payments from a presumptive or actual COVID-19 patient that are greater than what the patient would have otherwise been required to pay if the care had been provided by an in -network provider. Additional information on the initial $30 billion distribution Recognizing the importance of delivering funds in a fast and transparent manner, $30 billion is being distributed immediately — with payments arriving via direct deposit beginning April 10, 2020 — to eligible providers throughout the American healthcare system. These are payments, not loans, to healthcare providers, and will not need to be repaid. Read the a state -by -state breakdown of the initial $30 billion general distribution - PDF. Note that this breakdown shows the amount allocated to billing organization for eligible recipients based on the billing organizations' address, not necessarily the state where the providers are operating. Who is eligible for initial $30 billion? https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html 3/4 4/29/2020 CARES Act Provider Relief Fund I HHS.gov How are payment distributions determined? What to do if you are an eligible provider? Is this different than the CMS Accelerated and Advance Payment Program? How does this apply to different types of providers? Ensuring Americans are not surprised by bills for COVID-19 medical expenses The Trump Administration is committed to ensuring that Americans are protected against financial obstacles that might prevent them from getting the testing and treatment they need from COVID-19. • As announced in early April, a portion of the $100 billion Provider Relief Fund will be used to reimburse healthcare providers, at Medicare rates, for COVID-related treatment of the uninsured. - As a condition, providers are obligated to abstain from "balance billing" any patient for COVID- related treatment. • The Families First Coronavirus Response Act requires private insurers to cover an insurance plan member's cost -sharing payments for COVID-19 testing. • President Trump has also secured commitments from private insurers, including Humana, Cigna, UnitedHealth Group, and the Blue Cross Blue Shield system to waive cost -sharing payments for treatment related to COVID-19 for plan members. Content created by Assistant Secretary for Public Affairs (ASPA) Content last reviewed on April 28, 2020 https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html 4/4