About this form

Use this form to pay credit voucher amount due on OAGM contracts to CMS

Notice: Please make sure to attach the credit voucher supporting your ACH payment in order to apply payment to the right contract. You will be unable to make a payment without the required document.

Accepted Payment Methods:

• Bank account (ACH)

With an account you can:

• See the payments you made since you created an account.
• Store payment information so you don't have to re-enter it.
• Copy a form you already submitted the next time you need to make a payment.

To take advantage of these benefits, you can Sign In . If you don't have an existing account, you will have the option to create an account on the sign-in page. To continue as a guest user, click the 'Continue to the Form' button.