Application Templates
Hospital and Skilled Nursing Facility COVID-19 Worker Retention Payments
On November 29, 2022, all successfully registered Covered Entities (CEs), Covered Services Employers (CSEs), Physician Group Entities (PGEs) and Independent Physicians will receive a link to the application for submitting eligible direct employee information.
To expedite the submission process, CEs, CSEs, PGEs, and Independent Physicians are encouraged to begin gathering information for each eligible direct employee using the templates provided by DHCS.
In addition, DHCS released application guidance to support the overall submission process on the WRP webpage on November 29, 2022.
If you are a CE, CSE, PGE, or Independent Physician and are not registered with DHCS, please visit the WRP webpage. To apply on behalf of your eligible workers/employees, registration must be submitted by December 23, 2022.