COVID-19 Accelerated/Advance Payment Request

Note: As of April 26, 2020, CMS is no longer accepting any new applications for the Advance Payment Program (Part B providers). As of October 8, 2020, CMS will no longer accept applications for the Accelerated and Advance Payments Program as they relate to the COVID-19 Public Health Emergency.

In response to the financial impact related to the COVID-19 pandemic, CMS has approved the implementation of a streamlined Accelerated and Advance Payment request and approval process. This process will extend financial hardship relief to Medicare providers, physicians, and suppliers impacted by the COVID-19 pandemic.

Upon request, CMS will provide accelerated payments to Medicare Part A providers and advance payments to Medicare Part B providers and suppliers impacted by the COVID-19 pandemic to provide cash relief for a three-month or six-month operating period, depending upon your provider type. CMS has instituted flexibilities to streamline the existing accelerated/advance payment process to provide the MACs with temporary authorization to issue advance or accelerated payments in order to effectuate timely processing and payment within seven calendar days of receipt of the request.

To submit a request, please retrieve the Palmetto GBA “Request for Accelerated/Advance Payment” form located at the following links: 

Please complete and have the form signed by your provider’s authorized representative that is legally able to make financial commitments and assume financial obligations on the provider’s behalf.

Please Note: In the Explanation field of the Request for Accelerated/Advance Payment Form, please indicate “COVID-19.”

Once complete and signed, please submit the form via fax or email using the following options:

JJ Part A

JJ Part B

JM Part A


JM Part B

Once the request has been reviewed and approved, a payment will be issued to your facility via your established remittance process. The payment will appear as a lump sum (Part A PIP Providers Only) or as a manual invoice on your remittance advice. In addition, an email notification will be sent to the email POC on the Request for Accelerated/Advance Payment Form.

Part A PIP Providers Only: Lump sum payments issued in conjunction with this Financial Relief effort will be factored into your facility’s cost report settlement for your current Cost Report FYE.

All Other Providers: Accelerated/Advance payments issued in conjunction with this Financial Relief effort will begin recoupment 120 days after the date of issuance of the Accelerated/Advance payment.

Contact Palmetto GBA JM Part A Medicare

Provider Contact Center: 855-696-0705

Email Part A

Contact a specific JM Part A department

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Jurisdiction M Part B MAC

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