Enrollee Risk Assessment Code in RAPS Starts Jan 1, 2014
Effective for dates of service starting 1/1/2014, risk adjustment data (RAPS files) submitted by PACE organizations and MA plans are accepted only if the new field “Risk Assessment” is populated.
The Risk Assessment field must contain one of the following values:
A. Diagnosis code comes from a clinical setting (i.e, not done in a patient’s home)
B. Diagnosis code comes from a non-clinical setting (i.e, not done in a patient’s…