Decision Review – Final Repayment Notices (HRSA)

Summary

A HRSA page titled Decision Review – Final Repayment Notices, describing how providers who receive a Final Repayment Notice based on a HRSA finding of non-compliance or ineligibility may request a review of HRSA's decision to recover Provider Relief Fund (PRF), Uninsured Program (UIP), American Rescue Plan (ARP) Rural, or Coverage Assistance Fund (CAF) payments. It states that a request is submitted through the Decision Review Portal using the Repayment ID within 60 days of the date of the Final Repayment Notice, and that the Portal supports Microsoft Excel and Adobe PDF formats with a combined file size limit of 25 MB per submission. The page states that all decisions are final and that providers may be referred to the Program Support Center (PSC) for debt collection if results support the initial repayment determination. It lists Date Last Reviewed: March 2025.

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Decision Review – Final Repayment Notices

Decision Review is available to providers who receive a Final Repayment Notice based on a HRSA finding of non-compliance or ineligibility.

See Decision Review – Management Decision Letters for Management Decision Letter-related Decision Review .

Please refer to the Decision Review Portal User Guide (PDF - 735 KB) for additional direction in submitting your request.

How to submit a Decision Review Request

Providers will receive a Final Repayment Notice that contains the repayment amount and the reason HRSA is requesting repayment of funds.

Providers who disagree with the Final Repayment Notice have an option to request a review of HRSA's decision to recover Provider Relief Fund (PRF), Uninsured Program (UIP), American Rescue Plan (ARP) Rural, or Coverage Assistance Fund (CAF) payment(s) by taking the following steps:

- Review the Final Repayment Notice sent by HRSA which contains important information needed for the Decision Review process including: Reason for non-compliance Last three digits of Taxpayer Identification Number (TIN) Repayment ID Repayment amount Web address for the Decision Review Portal
- Visit the Decision Review Portal and submit a Decision Review Request using the Repayment ID within 60 days of the date of the Final Repayment Notice. Providers will receive a submission confirmation at the email address included in the Decision Review Request.
- HRSA will notify providers when a decision is made or if additional information is required only via the email address specified in the Decision Review Request.
- All decisions are final. If results of a Decision Review support the initial repayment determination, providers may be referred to the Program Support Center (PSC) for debt collection. For more details on the debt collection process, review the Repayment and Debt collection webpage .

Repayment IDs

Each repayment request corresponds to a single amount to be returned by a provider.

Each repayment amount is eligible for a Decision Review and will have its own unique Repayment ID.

- The Decision Review Portal prompts providers to submit the Tax Identification Number, Repayment ID, and repayment amount to which they are submitting a Decision Review Request.
- Providers may have received more than one payment for which HRSA is seeking repayment. For example, providers may have failed to report on multiple payments received. Providers must complete a separate submission for each Repayment ID that is identified in the Final Repayment Notice . Decision Review Requests cannot be combined.
- Providers are unable to submit duplicate submissions for a Repayment ID. Once a Repayment ID has been used in a submitted Decision Review Request, that ID cannot be re-used.

Documentation

Providers can submit documentation in the Decision Review Portal related to the (1) reason payments must be returned or (2) the amount HRSA has indicated must be repaid.

- The Decision Review Portal only supports Microsoft Excel and Adobe PDF formats.
- There is a combined file size limit of 25 MB per submission. The Portal does not accept submissions that exceed the file size limit.
- Providers cannot upload additional documentation in the Portal after submitting a Decision Review Request, so providers are encouraged to carefully review all documentation before submitting their request.

Help with decision review

For assistance with submitting a Decision Review Request or to verify a submission, contact Decision Review Provider Support using the information in the Final Repayment Notice.

Date Last Reviewed:

March 2025

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