RPC TOOLKIT
The RPC Toolkit contains all the necessary information and tools needed to submit retroactive requests. Please click on the links below to obtain the required forms and instructions to submit requests in accordance with CMS Guidelines.
- Click below to download the latest version of the RPC Submission Spreadsheet.
- Click below to obtain the latest version of the RPC Enrollment & Disenrollment Worksheet. This document is required for all retroactive enrollment, disenrollment, reinstatement and PBP change requests.
- Click below to obtain a copy of the LIS Supporting Documentation Worksheet. This document may be helpful for submitting BAE on all LIS Deeming requests.
- Click below to obtain a copy of the Payment Validation Supporting Documentation Worksheet. This document may be helpful for submitting supporting documentation for Pay Val requests over 6 months old.
- Click below to obtain the latest listing of our Final Disposition Codes that are reflected on your Final Disposition Reports. After processing your adjustments,
we will provide you with a Final Disposition Report detailing the action taken on your previously submitted request(s).
|
