FAQs

An ASCA waiver request must be mailed per CMS instructions, using the address on the ASCA Waiver Request Form.

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Reviewed: 10/05/22

For Medicare Part A providers/facilities, Medicare requires a waiver and supporting documentation for each PTAN. For corporations that have multiple PTANs, a waiver request and supporting documentation is required for each PTAN.

For Medicare Part B solo practitioners, Medicare requires a waiver and supporting documentation for each PTAN. For corporations that have a group PTAN or have multiple group PTANs with Medicare, a waiver and supporting documentation would need to be submitted for each group PTAN.

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Reviewed: 10/05/22

An ASCA Waiver approval is only valid for two years. Once two years has passed, any provider/supplier who was previously granted an ASCA approval may be reviewed again.

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Reviewed: 10/05/22

If providers/suppliers meet the definition of a small provider/supplier, under the ASCA exceptions they are not required to submit claims electronically. It is possible that a small provider/supplier may receive a Request for Documentation letter from National Government Services to establish whether or not they meet the criteria for submission of paper claims. If a small provider/supplier receives a Request for Documentation letter from NGS, follow the instructions and complete a Waiver Request form within the timeframe given. NGS will then notify providers/suppliers by mail if they can continue to submit paper claims. If a small provider/supplier does not reply to the letter or follow the instructions within the time frame given, their paper claims will be denied.

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Reviewed: 10/05/22

When providers submit an ASCA Waiver, additional documentation should be included. Listed below are examples of supporting documentation that should be sent with the applicable exception.

  • Small Supplier: Payroll records (does not need to include salary information), tax records or a certified letter from a CPA.
  • Roster Billing: A copy of a roster bill claim.
  • Tertiary Claims: A copy of a tertiary claim.
  • Unusual Circumstance: For software issues, a detailed letter from your software vendor on their letterhead. For billing issues, a letter with a detail description of the billing issue(s).

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Reviewed: 10/05/22

If an ASCA Waiver Request does not establish eligibility to submit paper claims, National Government Services will notify the provider/supplier by mail that any paper claims received by a specified date will be denied.

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Reviewed: 10/05/22

National Government Services will notify providers/suppliers by mail of the outcome.

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Reviewed: 10/05/22

Mail completed ASCA waiver request forms to:

National Government Services, Inc.
Attention: ASCA
P.O. Box 7022
Indianapolis, IN 46207-7022

Reviewed: 10/05/22