What is the typical timeframe allowed by CMS for submitting final RAPS data after the data collection year?

The Centers for Medicare & Medicaid Services (CMS) allows a typical timeframe of 13 months for submitting final RAPS (Risk Adjustment Processing System) data after the data collection year. This 13-month window is designed to ensure that all necessary data can be collected, validated, and submitted accurately.

This timeframe is critical because it allows organizations enough time to conduct proper data reviews, corrections, and reconciliations to comply with CMS regulations. Furthermore, the 13-month period accommodates any potential delays in data reporting, ensuring that the submission deadlines are met and that the risk adjustment calculations are based on complete and accurate information.

It is important to note that while other timeframes may exist in different contexts or for other data submissions related to CMS, the specific 13-month deadline for RAPS data is established to maintain compliance and align with the risk adjustment methodology used for Medicare Advantage plans. Understanding this timeframe is essential for organizations managing RAPS data and ensuring their submissions meet CMS requirements.