Home Health

CMS enacts penalty for delayed RAP submission

CMS has released change request 11855, on July 31, 2020, to implement the calendar year 2021 home health Request for Anticipated Payment (RAP) payment policies. The change request imposes a penalty for delayed RAP submission implementation.

Specifically, a non-timely submission payment reduction will occur  “when the home health agency does not submit the RAP within five calendar days from the start of care date for the first 30-day period of care in a 60-day certification period; and within five calendar days of the from date for the second 30-day period of care in the 60-day certification period,” according to CMS.

The implementation date for 2021 home health RAP payment policies will be Jan. 4, 2021.

Related link: View the change request at: https://go.cms.gov/2PI640j.