- Accelerated Payments Calculation [PDF]
- Accelerated Payment Request Certification [PDF]
- Cost Report Forms
- Credit Balance Report: CMS 838 Form and Instructions or Noridian 838 Form [Excel]
- Immediate Offset Request [PDF]
- Provider-Based Designation Checklist [PDF]
- Provider Request for Accelerated Payment [PDF]
- Rationale for Requesting a Part A Accelerated Payment [PDF]
- Voluntary Checks Form - MSP [PDF]
- Voluntary Checks Form - Non-MSP [PDF]
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Last Updated Oct 25, 2018