Client Alerts

Center for Medicare and Medicaid Services (CMS) Announces Accelerated/Advance Payments for Medicare Providers

Charles H. Newman

Health Care

March 30, 2020
The federal Center for Medicare and Medicaid Services (CMS) is authorized to provide accelerated or advance payments to certain health care providers and suppliers during certain national emergencies or natural disasters.  CMS announced today that it was expanding this program for the duration of the current public health emergency to include a broader group of Medicare providers and suppliers.  

In order to qualify for advance/accelerated payments, a provider must satisfy the following criteria:
  1. The provider must have billed Medicare for claims within 180 days prior to the date of application;
  2. The provider must not be in bankruptcy;
  3. The provider must not be under medical review or program integrity investigation; and
  4. The provider must not have any outstanding obligations to return Medicare overpayments.
Application forms will be made available on the website of the applicable Medicare Administrative Contractor (MAC).

Requests for advances will be granted for up to 100% of Medicare payments for a three month period for most providers.  Most hospitals can request up to 100% of the Medicare payment amount for a six month period.  Critical access hospitals can request up to 125% for up to a six month period.

Repayment of advances will begin 120 days after the payment is received, by way of offset against future Medicare claims.  The amount of any advance not repaid through the offset process at the end of seven months (up to one year for most hospitals) will have to be repaid.  

This Client Alert has been prepared by Sills Cummis & Gross P.C. for informational purposes only and does not constitute advertising or solicitation and should not be used or taken as legal advice. Those seeking legal advice should contact a member of the Firm or legal counsel licensed in their state. Transmission of this information is not intended to create, and receipt does not constitute, an attorney-client relationship. Confidential information should not be sent to Sills Cummis & Gross without first communicating directly with a member of the Firm about establishing an attorney-client relationship.