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Accelerated and advance payment request form for providers
Last Modified: 4/27/2020
Location: FL, PR, USVI
Business: Part A, Part B
The Centers for Medicare & Medicaid Services (CMS) announced on April 26, 2020, that it is reevaluating the amounts that will be paid under its Accelerated Payment Program for Part A providers, and suspending its Advance Payment Program to Part B providers/suppliers. CMS had expanded these temporary loan programs to ensure providers and suppliers had the resources needed to combat the beginning stages of the 2019 novel coronavirus (COVID-19).
Part A providers may continue to submit an Accelerated Payment Request Form. Please note that we are not processing the request forms while CMS is reevaluating the payment amounts. This may delay the processing of your Part A payment request.
For Part B providers, we are no longer accepting payment request forms submitted on or after April 26. If you submitted an advance payment request form prior to the suspension of this program, CMS is currently evaluating the requests. Once CMS makes a determination of the request, we'll notify you via email of the decision.
For details on the changes to the payment program, eligibility requirements, and other funding programs available to Medicare providers/suppliers, carefully review the following CMS communications:
You can access and submit the Accelerated Payment Request Form through our
Provider Enrollment Gateway. Only Part A providers can submit a request form.
Note: You must submit only ONE request form per Medicare identification number, also known as Provider Transaction Access Number (PTAN). The request form must include the PTAN and National Provider Identifier (NPI) that receives payment. Review the FAQs below before submitting to prevent processing delays.
Our gateway is a convenient and secure mechanism for you to access, download, and upload the form to expedite the processing of your request. It’s easy to use.
In case you need additional help, we also offer a handy
user guide on the gateway homepage.
Once you successfully upload the form, we’ll email you with the payment decision within seven calendar days of your request. If approved, the email will also provide the payment amount and when you’ll receive payment.
• our
FAQs for additional assistance regarding this program and the application process.
If you have additional questions, contact our hotline at 855-247-8428. Press option 1 for Jurisdiction N (JN), then select option 2 and stay on the line to speak to a representative about accelerated or advance payments. Our hours of operation are 8:30 a.m.-4 p.m. ET.
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.
