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Congress Delays Medicare Accelerated Payment Program Repayments


As part of the continuing resolution signed by President Trump on Wednesday, September 30, there was a change made to the recoupment of the accelerated payments made to many Medicare providers in April. Originally, CMS was to begin the recoupment of the advances in August. Congress has now legislatively enacted new terms.

The continuing resolution:

  • Postpones the recoupment of the Accelerated Payments until 365 days after the payment was issued
  • Extends the repayment timeline so that the loan balance is not due until September 2022
  • Reduces the per-claim recoupment amount from 100 percent to 25 percent for the first 11 months and then 50 percent of claims withheld for an additional six months
  • Lowers the interest rate from 10.25 percent to 4 percent for loans not repaid in full by September 2022

Congress and the U.S. Department of Health and Human Services (HHS) continue to modify the programs enacted in response to COVID-19, including the Accelerated Payment Program and the Provider Relief Fund. We will continue to keep you informed as changes are made. 

If you have any questions in the meantime, please contact Ron Present at 314.983.1358 or or Mark Renken at 636.754.0234 or



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