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Home Health Requests for Anticipated Payment and Timely Claims Filing

Since, by regulation, Requests for Anticipated Payments (RAPs) are not claims for purposes of Title 18 of the Social Security Act, timely filing enforcement will be bypassed for any RAP for which the associated Home Health Prospective Payment System (HH PPS) final claim could still be timely under Section 6404 of the Affordable Care Act. RAPs for which the associated HH PPS final claim could not still be timely will continue to be rejected, to prevent payment of RAP amounts that would be subject to recovery later.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 29, 2011

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.