Last month, the federal Department of Health and Human Services (HHS) again revised the definition of “lost revenues” which Provider Relief Fund (PRF) funding may be used to offset. On Oct. 22, HHS announced that lost revenues should be defined as the difference between a provider’s actual patient care REVENUE in CY 2019 vs. CY 2020, calculated quarterly. This definition is tighter than the one that HHS announced in June (any reasonable estimate offered by the provider) but looser than the definition announced in September (the difference between net CY19 and CY20 INCOME.) NACHC staff are currently working with the PCA Leadership Committee to create a forum for resolving detailed questions raised by the latest definition. Questions on the new definition and guidance can be submitted to Cheri Rinehart, PACHC President and CEO.