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April 9, 2021

Repayment of COVID-19 Accelerated and Advance Payments (CAAP)

Attention Medicare providers and suppliers who requested and received CAAPs due to the COVID-19 Public Health Emergency (PHE): CMS has begun recovering those payments as early as March 30, 2021, depending upon the 1 year anniversary of when you received your first payment. Please be sure your billing staff are aware that the recovery has begun or will begin soon, but no sooner than 1 year from the date we issued the CAAP to you.

Advance payments were issued to suppliers in Jurisdiction C between March 31, 2020 and June 11, 2020.

Suppliers who received CAAPs received letters in October 2020 describing the repayment process. The letters included

  • A list of advance payments received with the repayment start date
  • Account receivable (AR) transaction numbers for each CAAP
    • The AR transaction numbers begin with “CVD”
    • The AR transaction number will appear on the remittance advice for offset claims

Additional letters will not be sent prior to recoupment. If a supplier did not receive a letter or wishes to repay their advance via check, they can email questions to

Remittance Advice (RA):

  • The recoupment will appear as an adjustment in the Provider-Level Balance (PLB) section of the remittance advice.
  • All CAAP offsets will be reported as ‘WO’ (withholding offset) with the CAAP AR Transaction Number (begins with ‘CVD’).

Additional information on how to identify recovered payments and terms for repayment can be found in MLN Matters Number: SE21004External PDF.

For additional information and FAQs about COVID-19 Accelerated and Advance Payments, please refer to the CMS COVID-19 Accelerated and Advance Payments web pageExternal Website.


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