State and Federal Small Practice and Business Assistance

State Provider Relief

Paycheck Protection Program Resources - updated January 15th, 2021

Round two of the Paycheck Protection Program (PPP) is now available. It will accept First Draw PPP loan applications from participating Community Development Financial Institutions (CDFIs), Minority Depository Institutions (MDIs), Certified Development Companies (CDCs), and Microloan Intermediaries.

The following resources are available to assist with the application process:

U.S. Small Business Administration

Paycheck Protection Program First Draw Loan

IRS: Eligible Paycheck Protection Expenses Now Deductible

Paycheck Protection Program (PPP) Forgiveness and Other Information

On January 6th at 3:00pm, join a webinar for Vermont’s businesses regarding updates to the Paycheck Protection Program (PPP) and the Families First Coronavirus Response Act (FFCRA).

- The SBA Vermont District Office hosts a twice-weekly webinar to discuss Paycheck Protection Program forgiveness.

  • Tuesdays at 11:30am: Join online or by phone at 202-765-1264 (Code: 986 011 495#)
  • Wednesdays at 9:00am: Join online or by phone at 202-765-1264 (Code: 984 055 02#)

- Click for the Simpler application for PPP loan forgiveness for loans of $50,000 or less  

AHS Grant Agreements

  • Retroactive grant agreements sent to providers for financial awards from AHS under the early Retainer programs:
    • Any providers who received the COVID-19-specific Medicaid Retainer (April 2020), COVID-19 Sustained Monthly Retainer (in effect for the months of May, June, and July 2020), and COVID-19 Extraordinary Financial Relief for Nursing Homes and Private Non-Medical Institutions payment should have recently received a grant award following an initial memo from the Secretary of the Agency of Human Services on November 3, 2020. Grant agreements were subsequently sent to providers, beginning in the last week of November and continuing throughout the first couple of weeks in December.
    • If providers have questions, or have not received their grants, they should email: for support and assistance. (12/14/2020)

Federal Provider Relief

  • Federal Financial Relief for Medicaid Providers through the CARES Act. The U.S. Department of Health and Human Services (HHS) has released additional information regarding the CARES Act Provider Relief Fund.
    • On October 22, 2020, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), announced the latest Provider Relief Fund (PRF) application period has been expanded to include provider applicants such as residential treatment facilities, chiropractors, and eye and vision providers that have not yet received Provider Relief Fund distributions. For more information, visit HHS Expands Relief Fund Eligibility and Updates Reporting Requirements.
  • Federal Public Health Emergency Determination Renewed: Effective October 23, 2020, the determination that a federal public health emergency exists is renewed and will be effective until January 21, 2021. 

Repayment Terms Clarified for COVID-19 Accelerated/Advance Payments

On October 8, 2020 Congress passed legislation that changed and clarified the repayment terms for the COVID-19 accelerated/advance payments. These changes include:

  • An extension of the repayment period has been issued and the automatic recoupment will now begin one year after the date the accelerated or advance payment was issued.
  • During the first 11 months after repayment begins, the recoupment rate will be 25% and repayment will occur through an automatic recoupment of the provider/supplier Medicare payments.
  • At the end of the 11-month period, the recoupment rate will increase from 25% to 50%.The automatic recovery at the 50% recoupment rate will continue for six months.

If the total amount of the accelerated/advance payment is not recovered within 29 months from the date the payment was made, a demand letter for the outstanding balance will be issued. The demanded amount will be subject to a 4% interest rate.

Other Federal Resources