Veteran’s Affairs Community Care Network home health updates
Jan. 1, 2022, certified home health updates
The Centers for Medicare & Medicaid Services (CMS) recently announced changes to claim processing requirements that affect using Requests for Anticipated Payments (RAPs) for home health care claims, including changes to submission timelines and late penalties.
For dates of service beginning Jan. 1, 2022, Veteran’s Affairs Community Care Network (VA CCN):
Will not require a RAP or Notice of Admission (NOA) to be included with home healthcare claims submitted to VA
Will not implement any of the late penalties since neither a RAP nor NOA is required
Will pay claims based on the Health Insurance Prospective Payment System (HIPPS) code submitted on the claim and will look to providers to bill appropriately
For dates of service prior to Jan. 1, 2022, which crossover the calendar year, the Patient Driven Grouping Model (PDGM) 2021 rules should continue to be followed.