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RAPs, Enhanced Oversight, What does it mean for new HHAs?

Are you a newly-enrolled Home Health Agency (HHA)?  Then you should know that CMS has instigated a new enhanced oversight provisional period wherein the Request for Anticipated Payments are suppressed, effective now (March 2019).  This provisional period will continue for at least 30 days and not more than 1 year. 

This Request for Anticipated Payments (RAPs) are advanced payments that HHAs receive at the beginning of each 60-day episode of home health services. New HHAs will not receive RAPs during the provisional enhanced oversight period. 

Per MLN Matters article, released Feb. 15, this provisional period of enhanced oversight “will help CMS closely monitor provider or supplier types that historically have engaged in high levels of fraud, waste, and abuse.”

CMS will focus on new HHAs in all states and territories during the initial use of the provisional period of enhanced oversight authority.

Though new HHAs will not receive RAP payments during the provisional period of enhanced oversight, these agencies must still submit a RAP for each home health episode in order for the final claim to be processed, and they will receive the total payments after submission of the final claim.

See the full article at:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/SE19005.pdf

 

 

Robyn Petersen