Updated on October 19
On October 1, as part of its Continuing Resolution (HR 8337), Congress finally provided relief to COVID-19 Medicare Advanced and Accelerated Payment Program (AAP) loan recipients. APMA expressed its significant concerns to CMS in August—specifically that the repayment terms are overly strict and would cause additional, unnecessary financial burdens for providers. in response, CMS temporarily delayed this automatic garnishment, waiting in part for congressional action. Congress made the following adjustments to the repayment timeline and terms:
On October 8, CMS announced it is adopting these changes, providing the following clarifications:
An ERS is a debt installment payment plan that allows a provider or supplier to pay debts over the course of three years, or, up to five years in the case of extreme hardship. Providers and suppliers are encouraged to contact their Medicare Administrative Contractor (MAC) for information on how to request an ERS. Please note: Providers cannot use the funds they received through any Provider Relief Fund distribution to repay an AAP loan. CMS will be communicating with each provider and supplier in the coming weeks as to the repayment terms and amounts owed as applicable for any accelerated or advance payment issued.