CMS State Medicaid Directors Letter - Recovery Audit Contractors (RACs) for Medicaid

File Downloads / Links

  • SMD Letter PDF

Article Publication Date: 
10/1/2010
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.
Article Author: 
Budetti, Peter; Mann, Cindy
Topics: 
Medicaid
Populations: 
N/A
Sources: 
CMS
Programs/Initiatives: 
Affordable Care Act (ACA)
Keywords: 
N/A
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
Angela.Brice-Smith@cms.hhs.gov
Phone: 
410-786-4340

Short URL: http://www.advancingstates.org/node/52692