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 the Pay.gov receipt or the Pay.gov tracking ID number; if the fee was paid via ACH debit, an Authorization and Payment Information Form for EFT for Application Fee Refunds form.

Related Content

• Centers for Medicare & Medicaid Services (CMS) Internet-Only Manual (IOM) Publication 100-08, Medicare Program Integrity Manual, Chapter 10, Section 10.6.14 D and H

Reviewed 1/2/2024