Wisconsin Hospital CARES Funding Application and Initial Allocation Amount

Governor Evers announced in June that Wisconsin hospitals will receive $40 million of direct payments from the Wisconsin Department of Health Services to assist with lost revenue and expenses incurred related to the COVID-19 pandemic. This funding was provided to Wisconsin under the federal Coronavirus Aid, Relief, and Economic Security (CARES) Act.

Providers must complete and submit the application template to DHSDMSBRS@dhs.wisconsin.gov by Tuesday, August 25th at 5 pm, in order to receive this funding. Any questions about this application should be sent to DHSDMSBRS@dhs.wisconsin.gov.

Please follow the application instructions closely. The application template includes an overview of the funding and payment methodology. The initial $40 million provider allocation amount is based on relative Medicaid utilization, including both inpatient and outpatient services. Payments will ultimately be the lesser of the initial allocation amount or total uncompensated COVID-related business lost revenue and expenses in March, April, May and June 2020. State-run facilities and VA facilities are ineligible to participate in this program; county facilities are eligible to participate but only eligible for payments related to increased COVID-19 related expenses (and not lost revenue), due to federal requirements.

• Application
• Allocated payment

Wisconsin Hospital CARES Funding Frequently Asked Questions (FAQs):

Q1: Should revenue reported in this application be gross or net revenue?

A1: Please report only net patient service revenue in your application, i.e., the difference between charges or gross patient revenue and contractual adjustments.

Q2: Our 2019 tax year isn’t over yet. What should be reported in Question 2 on the revenue and expenses tab?

A2: Question 2 should be the amount of the net patient service revenue for your 2019 fiscal year that covers the March – June 2019 time period. Please include your profit and loss statement for this FY 2019 time period if you haven’t filed your 2019 tax return.

Q3: Can hospitals within a system report and calculate eligibility for payments on an aggregate basis instead of at the hospital level?

A3: The eligibility calculation is based on the Tax Identification Number (TIN). The calculations will not aggregate information from multiple TINS even if the TINS are associated with the same organization. Please identify all uncompensated costs and losses in each application, even if they exceed the allocated amount. This information may be used for reallocating any unspent funds.