Home Health & Hospice

When can a RAP be submitted?

Homecare Insider, June 13, 2016

An HHA can submit a RAP to Medicare when all of the following conditions are met:
•    After the OASIS assessment is complete, locked or export ready, or there is an agencywide internal policy establishing the OASIS data is finalized for transmission to the state;
•    Once a physician’s verbal orders for home care have been received and documented;
•    A plan of care has been established and sent to the physician; and
•    The first service visit under that plan has been delivered.

RAPs may be paid 0% if Medicare is the secondary payer or if the patient is enrolled in a Medicare Advantage program.