Submitting a Request for Anticipated Payment Under the Home Health Patient-Driven Groupings Model

Published 03/15/2021

The home health Patient-Driven Groupings Model (PDGM) was effective for requests for anticipated payment (RAPs) with a 'from' date on or after January 1, 2020 (CMS-1689-FC). This changed the payment from 60-day episodes of care to 30-day periods of care. This job aid provides guidance on submitting a RAP under HH PDGM and information on additional changes to RAPs in 2021. 

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