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Learn about CMS' amended repayment process for accelerated and advance repayments
Last Modified: 9/2/2022
Location: FL, PR, USVI
Business: Part A, Part B
Under the expanded Accelerated and Advance Payments (AAP) Program, CMS issued payments to providers and suppliers to help ease financial strain due to a disruption in claims submission and/or claims processing related to the COVID-19 public health emergency.
Recently, Congress enacted amended repayment terms for the accelerated and advance payments through the Continuing Appropriations Act, 2021 and Other Extensions Act:
• Repayment will now begin one year after the date of the issuance of the payment.
• During the first 11 months after repayment begins, repayment will occur through an automatic recoupment of 25% of Medicare payments otherwise owed to you.
• During the succeeding six months, repayment will occur through an automatic recoupment of 50% of Medicare payments otherwise owed to you.
• If you are unable to repay the total amount of the accelerated or advance payment through recoupment within 29 months, you will receive a demand letter requiring repayment of any outstanding balance, subject to an interest rate of 4%.
No action is necessary from you. The repayment process will begin automatically.
The following example helps illustrate the amended repayment terms for a provider that was issued an AAP on April 1, 2020:
We highly recommend that providers/suppliers create a way, during the 29-month recoupment period, to track the claims submitted, Medicare reimbursement received, and Medicare reimbursements recouped:
• This will help you reconcile the payments recouped towards your AAP receivable in your system as they are a part of the payback process.
• To assist you with your reconciliation, recoupment transactions related to the AAP will process with a coded adjustment that is assigned a "CVD" Accounts Receivable (AR) number.
Have additional questions?
If you have any additional questions regarding the AAP repayment process, please contact our hotline at 1-855-247-8428. Our hours of operation are 8:30 a.m.–4 p.m. ET M-F.
If you are a SPOT user, did you know you can get real time balance and other information about your accounts receivable by using our new AR transactions detail option? Watch our quick
video 
to learn how to use this feature.
If you are not a SPOT user yet, this is a great time to register. This free, online self-service tool offers you a convenient way to look up provider specific information without having to call or write to us. Visit our
SPOT webpage for registration information.
Review CMS resources:
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
