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CHANGE EXISTING PROVIDER ENROLLMENT INFORMATION

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How to Obtain a Refund

A refund will only be granted in the following instances:

    • The application fee was not required for the application submitted
    • A hardship request was subsequently approved and a fee was paid
    • An application was rejected prior to the screening process
    • An application was denied due to a moratorium
    • An application fee was paid and not part of a submission

In order to receive a refund in any of the instances outlined, the provider must request a refund no later than 150 days from the date it submitted its application. In its request, the provider shall include documentation acceptable to process the refund request. For credit card refunds, the provider shall include your https:.Pay.gov receipt or the https:.Pay.gov tracking ID number; if the fee was paid via ACH Debit, a W-9 is required. (CMS IOM Pub.100-08 chapter 15, section 15.19.1)

How to Obtain a Refund
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