Page 5

September 7, 2017

c. The RCAP census must be documented to show that the resident was out of the facility and at the hospital. d. The RCAP provider does not receive RCAP payments for any reason if the resident is not at the facility. e. A status change form must be submitted within five business days to the RCAP Coordinator at rcap.provider@fssa.in.gov. 2. How many hospital days is a RCAP resident allowed before being discharged from RCAP? a. There is no limit on the number of days a RCAP resident can be in the hospital. b. It is the responsibility of the RCAP provider to submit a status change form for any RCAP resident that is admitted to the hospital. The status change form must be received within five business days. Nursing Facility Stays: 1. If a RCAP resident is admitted into the nursing facility does the facility receive RCAP payments? a. No. If the RCAP resident is admitted into a nursing facility, the facility does not receive payment from the RCAP program. 2. Can the resident’s liability be kept for payment by the RCAP provider when the resident is in the nursing facility? a. No. In accordance with the current requirement, while the RCAP resident is using the LOA/nursing facility days, the RCAP facility will not receive RCAP funding nor the RCAP resident’s liability amount. 3. How many days can a RCAP resident be in the nursing facility before losing RCAP eligibility? a. As of November 1, 2012, active and current RCAP residents, who are absent from an RCAP facility due to continuous stay in a nursing facility, may return to a participating RCAP facility if the resident returns by the 181st day of the nursing facility admission date, considered day one plus 179 days continuous institutional care, totaling 180 days out of the RCAP facility. During these additional available LOA days, the RCAP resident will be placed ‘on hold’ in the RCAP program. A status change form needs to be submitted on the 181st day to discharge the resident from the program. b. In the event the RCAP resident is not transferred back to a participating RCAP facility by the 181st day from the nursing facility admission date, the resident will be discharged from the RCAP program. 4. How do I know if the extended nursing facility policy applies to my resident’s situation? a. Below are examples of how the nursing facility policy is implemented.