The Accelerated/Advance Payment Request form has been updated to reflect only information needed related to COVID-19 relief requests.

Note: It is not necessary to resubmit previous requests using this new form. Use the new form only for new requests for COVID-19 relief.

The forms are located at:

Contact Palmetto GBA JJ Part A Medicare

Provider Contact Center: 877-567-7271

Email JJ Part A

Contact a specific JJ Part A department

Click to Chat Now