PRF Audit and Reporting Update

By Yann Reichelt, CPA, Business Assurance & Advisory Services Senior Manager

PRF Audit and Reporting Update

2021 Overview of Provider Relief Fund Audit and Reporting

The Provider Relief Fund (PRF) payments were provided to hospitals and other healthcare providers to support healthcare-related expenses or lost revenues attributable to COVID-19 for eligible providers who diagnose, test, or care for individuals with possible or actual cases of COVID-19.

The PRF program is administered by the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS), under CFDA #93.498.

Summary of Key Updates

With the deadline to report on Period 1 PRF payments expired and Period 2 reporting due by March 31, 2022 (refer to reporting requirements), healthcare providers who received Period 1 and Period 2 payments need to turn their attention to satisfying the commercial entity audit requirement.

PRF audits for commercial entities with a year-end between June 30, 2021 and December, 31, 2021, are due as follows:

Payment Received Period (Payment Exceeding $10,000 in Aggregate Received)Deadline to Use FundsReporting Period DeadlineAudit Report Due Date
Period 1From April 10, 2020 to June 30, 2020June 30, 2021November 30, 2021September 30, 2022*
Period 2From July 1, 2020 to December 31, 2020December 31, 2021March, 31, 2022September 30, 2022*

* Audit reports are due the earlier of 30 calendar days after receipt of the audit or 9 months after the fiscal year. The Office of Management and Budget (OMB) issued Memo M-21-20, which allowed entities with a year-end through June 30, 2021 to delay their submission by 6 months; thus, their reporting deadline is the same as calendar year-end entities.


Additionally, the Government Audit Quality Center received guidance from HHS regarding the specific audit requirements, which are outlined below:

GAGAS Financial Audit Single Audit Program-Specific Audit (2 CFR 200/45 CFR Section 75)
Criteria for Each OptionEntity has awards under only one or multiple HHS programsEntity has awards under only one or multiple HHS programsEntity has awards under only one HHS program
Audit of Entity’s Financial StatementsNot requiredRequired (performed under
Not required
Presentation of HHS ScheduleSchedule of specific element of a financial statementSchedule of expenditures of federal awards (SEFA)Schedule of specific element of a financial statement
Auditor Reporting on the ScheduleOpinion on the schedule under AU-C 805In addition to the opinion on the financial statements, an in-relation- to opinion on the SEFA under AU-C
Opinion on the schedule under AU-C 805
GAGAS Reporting on Internal Control over Financial Reporting and Compliance and Other MattersRequired (as it relates to the schedule under AU-C 805)Required (as it relates to the financial statements as a whole)See chapter 14 of the GAS-SA Guide
Auditor Opinion on Compliance and Reporting on Internal Control Over ComplianceNot requiredRequiredRequired

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About the Author

Yann Reichelt

Yann Reichelt, CPA, Business Assurance & Advisory Services Senior Manager

Yann joined the Business Assurance and Advisory Services group in 2014. Yann has experience with auditing procedures, financial reporting, business process reviews, and evaluation of internal controls.

Yann is a leader in Keiter’s Healthcare Industry Services practice and specializes in Provider Relief (PRF) Audits. Yann is also a member of the Firm’s Not-for-Profit team.

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The information contained within this article is provided for informational purposes only and is current as of the date published. Online readers are advised not to act upon this information without seeking the service of a professional accountant, as this article is not a substitute for obtaining accounting, tax, or financial advice from a professional accountant.


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