Full RCD implementation in Florida, N.C. by Sept. 1

 

CMS has announced the timeline for full implementation of Review Choice Demonstration (RCD) in Florida and North Carolina.

 

Agencies in the two states have been able to participate in a “phased-in” approach due to the public health emergency. Agencies were able to participate in pre-claim review on a voluntary basis.

 

In addition, CMS will resume applying the 25% payment reduction when claims are submitted without a pre-claim review in all five demonstration states — Illinois, Ohio, Texas, Florida and North Carolina.

 

On Friday, July 16, 2021, CMS announced a timeline for RCD implementation in Florida and North Carolina:

 

More details for Florida and N.C. providers:

 

Providers who made a selection during the first selection period for Cycle 2 in April and wish to remain in the same option they previously selected do not need to take any action.

 

Providers who previously made a selection for Cycle 2 in April and wish to change their selection will have the ability to do so during the mid-cycle selection period. The RCD Choices available to these providers will be based on their Cycle 1 results.

 

Providers who did not previously make a selection for Cycle 2 and do not make a selection during this mid-cycle selection period will default to either Choice 2 (Postpayment Review) or Choice 4 (Selective Postpayment Review) based on their Cycle 1 results.

 

Cycle 2 for NC and FL will end on October 31, 2021.