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Accelerated or Advanced Payments to Providers

CMS issued the following Press Release on 4/26/2020: CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program. In this press release CMS announced that it is reevaluating the amounts that will be paid under its Accelerated Payment Program and suspending its Advance Payment Program to Part B suppliers effective immediately. CMS will not be accepting any new applications for the Advance Payment Program (Part B) and CMS will be reevaluating all pending and new applications for Accelerated Payments (Part A) in light of historical direct payments made available through the HHS Provider Relief Fund.

CMS has expanded the Accelerated and Advance Payment Program for financial hardship relief for Medicare providers during the COVID-19 pandemic. A provider may also request an accelerated/advance payment where delays in payments by an A/B MAC for covered services rendered to beneficiaries have caused financial difficulties for the provider. An accelerated/advance payment may also be made in highly exceptional situations where a provider has incurred a temporary delay in its bill processing beyond the provider’s normal billing cycle.

A request for accelerated/advanced payments will only be approved if all of the following apply:

  1. The provider has billed claims during the 180 days prior to the request.
  2. The provider/supplier is not under a fraud investigation.
  3. The provider is currently not in active bankruptcy status (not settled) or indicates/plans to file bankruptcy.
  4. The provider has no delinquent debts that have not been paid for over 120 days.

Most qualified providers and suppliers will be able to request up to 100% of the Medicare payment amount for a three-month period. Inpatient acute care hospitals, children’s hospitals, and certain cancer hospitals are able to request up to 100% of the Medicare payment amount for a six-month period. CAHs can request up to 125% of their payment amount for a six-month period.  

Refer to the CMS Accelerated Advance Payment Fact Sheet for additional details. 

To request an accelerated/advance payment, please send your request via email to the address that best fits your facility:

When submitting a request, please attach the following:

  1. Accelerated/Advance Payment Request Form
    • Note: Digital signatures are acceptable on the form. Chrome users will need to download and save the form to activate the digital signature feature.
  2. If the request is not due to COVID-19 for Part A and HH+H Requests Only - A cash flow statement (CMS Paper-Based Manuals Publication 15-1, Medicare Provider Reimbursement Manual—Part 1 [PRM-I], Chapter 24, Payment to Providers, Section 2412) may be required showing proof that a shortage of cash exists and they cannot meet current obligations.

Upon receipt of the request, National Government Services will process the request and communicate with the requestor if in the event additional supporting documentation is required.

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