CMS State Medicaid Directors Letter - Recovery Audit Contractors (RACs) for Medicaid
Article Publication Date
Summary
This letter provides initial guidance on section 6411 of the Affordable Care Act, Expansion of the Recovery Audit Contractor (RAC) Program, which amends section 1902(a)(42) of the SSA requiring States to establish programs to contract with RACs to audit payments to Medicaid providers by December 31, 2010. CMS expects States to fully implement their RAC programs by April 1, 2011. As required by statute, CMS will be issuing regulations in this area shortly, providing additional guidance.
Topics
Types/Tools
Populations
Sources
Programs/Initiatives
States
Keywords
CMS Medicaid Program Integrity Technical Advisory Group; State Medicaid RACs; Exceptions; Contingency Fees and Other Payment Matters; Appeals; Reporting; Coordination; Medicaid State Plan Preprint Page; SMDL# 10-021; ACA# 10
Contact
Angela
Brice-Smith
Director of the Medicaid Integrity Group, Center for Program Integrity
NULL
Angela.Brice-Smith@cms.hhs.gov
Phone
410-786-4340